ROGER EARL ALLEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013549

License Status

NOT RENEWED

Business

First Name

ROGER EARL

Last Name

ALLEN

Suffix

DDS

Business Name

ROGER EARL ALLEN DDS

Original Issue Date

07/14/1969

Effective Date

07/14/1969

Expiration Date

09/30/1984

City

SOUTH BEND

State

Zip

46617

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005