ELVIN JAMES SCHROCK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016979

License Status

INACTIVE

Business

First Name

ELVIN

Middle

JAMES

Last Name

SCHROCK

Business Name

ELVIN JAMES SCHROCK

Original Issue Date

09/15/2020

Effective Date

09/15/2020

Expiration Date

12/31/2021

City

TUSCOLA

State

Zip

61953

County

DOUGLAS

Ever Disciplined

LastModifiedDate

09/29/2021