ROSE COLLINS MATHEWS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

NOT RENEWED

Business

First Name

ROSE

Last Name

COLLINS MATHEWS

Business Name

ROSE COLLINS MATHEWS

Original Issue Date

10/17/1988

Effective Date

10/17/1988

Expiration Date

09/30/1990

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

10/13/2005