CHARLES WILSON ROE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

First Name

CHARLES WILSON

Last Name

ROE

Suffix

DDS

Business Name

CHARLES WILSON ROE DDS

Original Issue Date

04/19/1985

Effective Date

09/28/2012

Expiration Date

09/30/2015

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016