ANGELA DAWN RODERICK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010649

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

DAWN

Last Name

RODERICK

Business Name

ANGELA DAWN RODERICK

Original Issue Date

06/30/2003

Effective Date

09/26/2018

Expiration Date

01/31/2022

City

GIBSON CITY

State

Zip

60936

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/09/2022