ROXANA L BURCHE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

NOT RENEWED

Business

First Name

ROXANA

Middle

Last Name

BURCHE

Suffix

DDS

Business Name

ROXANA L BURCHE DDS

Original Issue Date

01/06/1999

Effective Date

01/06/1999

Expiration Date

09/30/2004

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005