ROGER EARL ALLEN DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

CANCELLED

Business

First Name

ROGER EARL

Last Name

ALLEN

Suffix

DDS

Business Name

ROGER EARL ALLEN DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

SOUTH BEND

State

Zip

46617

County

INDIANA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005