ROLLIN S CHURCH III DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009179

License Status

NOT RENEWED

Business

First Name

ROLLIN S

Last Name

CHURCH III

Suffix

DDS

Business Name

ROLLIN S CHURCH III DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1988

City

WAUTOMA

State

Zip

54982

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005