License holder summary

Jill A Roth is a Dental Hygienist licensed to practice in Indiana. The address on file for Jill A Roth is Indianapolis IN 46256. This licensed professional license is not current. The license was granted 06/17/1977 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Jill A Roth
Dental Hygienist
License number
13001509A
Date granted
06/17/1977
Date expires
03/01/2016
Class
Dental Hygienist
Status
Inactive
Address
Indianapolis IN 46256
indianalicensing.org
ID 22437760
LAST UPDATED 2021-04-06 16:02:52 UTC

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