REBECCA J DE LA ROSA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023865

License Status

NOT RENEWED

Business

First Name

REBECCA J

Last Name

DE LA ROSA

Suffix

DDS

Business Name

REBECCA J DE LA ROSA DDS

Original Issue Date

05/23/1995

Effective Date

05/23/1995

Expiration Date

09/30/1996

City

INDIANAPOLIS

State

Zip

46234

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005