SUE ELLEN ROLANDO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

First Name

SUE ELLEN

Last Name

ROLANDO

Business Name

SUE ELLEN ROLANDO

Original Issue Date

09/06/1983

Effective Date

09/06/1983

Expiration Date

09/30/1986

City

LITCHFIELD

State

Zip

62056

County

MACOUPIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005