SAMANTHA MARIE ROCH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013026

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

MARIE

Last Name

ROCH

Business Name

SAMANTHA MARIE ROCH

Original Issue Date

08/05/2009

Effective Date

09/11/2024

Expiration Date

09/30/2027

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/11/2024