TIMOTHY WAYNE ROSER DMD - Dentist License in Illinois | # 137000942

TIMOTHY WAYNE ROSER DMD

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000942

License Status

ACTIVE

Business

N

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

State

IL

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

N

LastModifiedDate

08/28/2024