Jeffrey Randall Roth Dmd

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

31*****02

Status

Expired (Not Renewed)

First issued

May 8, 1992

Expired

September 30, 2004

License holder

Jeffrey Randall Roth Dmd

Entity type

Individual

Classifications

• Licensed Dentist Controlled Substance (Dental) Dental

More from the license record

Controlled substance schedules

III IV V

Current term began

05/08/1992

Other Illinois licenses under this name

• IL
  Jeffrey Randall Roth Dmd

  License 019022839

  Licensed Dentist (Dental)
  Expired

  Olney, IL

  Expired Sep 30, 2006

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