TROY JAMES ROEDER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

NOT RENEWED

Business

First Name

TROY JAMES

Last Name

ROEDER

Suffix

DDS

Business Name

TROY JAMES ROEDER DDS

Original Issue Date

09/29/1994

Effective Date

09/29/1994

Expiration Date

09/30/1998

City

ORION

State

Zip

61273

County

HENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005