SHIRLEY M ROSKAMP Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006384

License Status

NOT RENEWED

Business

First Name

SHIRLEY M

Last Name

ROSKAMP

Business Name

SHIRLEY M ROSKAMP

Original Issue Date

07/13/1987

Effective Date

07/02/2015

Expiration Date

09/30/2018

City

SUTTER

State

Zip

62373

County

HANCOCK

Ever Disciplined

LastModifiedDate

10/31/2018