STEPHEN EDWARD ROCHE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

NOT RENEWED

Business

First Name

STEPHEN EDWARD

Last Name

ROCHE

Suffix

DDS

Business Name

STEPHEN EDWARD ROCHE DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

HANOVER

State

Zip

61041

County

JO DAVIESS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005