ROBERT STEWART NOVOTNY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012536

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

STEWART

Last Name

NOVOTNY

Suffix

DDS

Business Name

ROBERT STEWART NOVOTNY DDS

Original Issue Date

07/14/1964

Effective Date

08/10/2009

Expiration Date

09/30/2012

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/14/2012