ROXANNE ADIL TARAPORE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

Title

DDS

First Name

ROXANNE

Middle

ADIL

Last Name

TARAPORE

Business Name

ROXANNE ADIL TARAPORE DDS

Original Issue Date

07/21/2016

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022