RODNEY J VERGOTINE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000722

License Status

NOT RENEWED

Business

First Name

RODNEY

Middle

Last Name

VERGOTINE

Business Name

RODNEY J VERGOTINE

Original Issue Date

07/21/1993

Effective Date

07/21/1993

Expiration Date

06/30/1995

City

KANSAS CITY

State

Zip

64111

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/12/2005