RICHARD J ROOTS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021928

License Status

NOT RENEWED

Business

First Name

RICHARD J

Last Name

ROOTS

Suffix

DDS

Business Name

RICHARD J ROOTS DDS

Original Issue Date

02/15/1990

Effective Date

02/15/1990

Expiration Date

09/30/1992

City

JEFFERSON

State

Zip

53549

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005