SCOTT IAN ROTHBART DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001294

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

IAN

Last Name

ROTHBART

Suffix

DDS

Business Name

SCOTT IAN ROTHBART DDS

Original Issue Date

07/17/2001

Effective Date

07/17/2001

Expiration Date

06/30/2002

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/12/2005