Jeffrey Randall Roth Dmd

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019022839

Status

Expired (Not Renewed)

First issued

April 3, 1992

Expired

September 30, 2006

License holder

Jeffrey Randall Roth Dmd

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

09/30/2004

Other Illinois licenses under this name

• IL
  Jeffrey Randall Roth Dmd

  License 31*****02

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Olney, IL

  Expired Sep 30, 2004

Contact