JAMES DOMINIC ROPPA DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

CANCELLED

Business

First Name

JAMES

Middle

DOMINIC

Last Name

ROPPA

Suffix

DDS

Business Name

JAMES DOMINIC ROPPA DDS

Original Issue Date

06/17/2005

Effective Date

06/17/2005

Expiration Date

09/30/2006

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2006