RUSTIN A WEST DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001553

License Status

EXPIRED

Business

First Name

RUSTIN

Middle

Last Name

WEST

Suffix

DDS

Business Name

RUSTIN A WEST DDS

Original Issue Date

06/17/2005

Effective Date

06/17/2005

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

07/27/2006