RACHEL ELIZABETH ROAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015678

License Status

NOT RENEWED

Business

First Name

RACHEL

Middle

ELIZABETH

Last Name

ROAN

Business Name

RACHEL ELIZABETH ROAN

Original Issue Date

10/20/2016

Effective Date

10/20/2016

Expiration Date

09/30/2018

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/31/2018