KIMBERLIN ROSE Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005492

License Status

INACTIVE

Business

First Name

KIMBERLIN

Last Name

ROSE

Business Name

KIMBERLIN ROSE

Original Issue Date

06/13/1984

Effective Date

08/13/2009

Expiration Date

09/30/2012

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

06/06/2012