ROGER D PEARSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

NOT RENEWED

Business

First Name

ROGER

Middle

Last Name

PEARSON

Suffix

DDS

Business Name

ROGER D PEARSON DDS

Original Issue Date

01/01/1998

Effective Date

09/15/2009

Expiration Date

09/30/2012

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012