ROXANNE LEE MINES Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009751

License Status

INACTIVE

Business

First Name

ROXANNE

Middle

LEE

Last Name

MINES

Business Name

ROXANNE LEE MINES

Original Issue Date

06/12/2000

Effective Date

07/07/2015

Expiration Date

09/30/2018

City

SPARTA

State

Zip

62286

County

RANDOLPH

Ever Disciplined

LastModifiedDate

06/07/2018