MICHAEL DEROSE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019004834

License Status

NOT RENEWED

Business

First Name

MICHAEL

Last Name

DEROSE

Business Name

MICHAEL DEROSE

Original Issue Date

08/16/1926

Effective Date

08/16/1926

City

RACINE

State

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005