NORMAN DAVID ROTBLAT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012556

License Status

NOT RENEWED

Business

First Name

NORMAN DAVID

Last Name

ROTBLAT

Suffix

DDS

Business Name

NORMAN DAVID ROTBLAT DDS

Original Issue Date

07/14/1964

Effective Date

09/11/2012

Expiration Date

09/30/2015

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

02/08/2016