ROBERT P ROACH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

ROBERT P

Last Name

ROACH

Suffix

DMD

Business Name

ROBERT P ROACH DMD

Original Issue Date

08/21/1990

Effective Date

08/21/1990

Expiration Date

09/30/2002

City

CHESTERFIELD

State

Zip

63017

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005