ROSCOE CONKLING FOSTER JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000622

License Status

NOT RENEWED

Business

First Name

ROSCOE CONKLING

Last Name

FOSTER JR

Suffix

DDS

Business Name

ROSCOE CONKLING FOSTER JR DDS

Original Issue Date

12/08/1969

Effective Date

12/08/1969

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/17/2005