KRISTIN DENISE ROGERS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

NOT RENEWED

Business

Title

DDS

First Name

KRISTIN

Middle

DENISE

Last Name

ROGERS

Business Name

KRISTIN DENISE ROGERS DDS

Original Issue Date

07/18/2013

Effective Date

09/30/2015

Expiration Date

09/30/2018

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018