RUBEN A ROUSSEAUX Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013858

License Status

NOT RENEWED

Business

First Name

RUBEN

Middle

Last Name

ROUSSEAUX

Business Name

RUBEN A ROUSSEAUX

Original Issue Date

02/06/2012

Effective Date

09/16/2015

Expiration Date

09/30/2018

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/31/2018