TIMOTHY WAYNE ROSER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000942

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

WAYNE

Last Name

ROSER

Suffix

DMD

Business Name

TIMOTHY WAYNE ROSER DMD

Original Issue Date

01/29/2016

Effective Date

08/28/2024

Expiration Date

09/30/2027

City

ENFIELD

State

Zip

62835

County

WHITE

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

08/28/2024