THAIS ANTUNES ROSALES DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

ACTIVE

Business

Title

DMD

First Name

THAIS

Middle

ANTUNES

Last Name

ROSALES

Business Name

THAIS ANTUNES ROSALES DMD

Original Issue Date

04/18/2024

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

MARION

State

Zip

62959

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2024