KELLY A ROGERS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008129

License Status

INACTIVE

Business

First Name

KELLY A

Last Name

ROGERS

Business Name

KELLY A ROGERS

Original Issue Date

10/18/1993

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

HAMMOND

State

Zip

46324

County

INDIANA

Ever Disciplined

LastModifiedDate

06/04/2009