DAVID KERMIT RATZLAFF DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015901

License Status

NOT RENEWED

Business

First Name

DAVID KERMIT

Last Name

RATZLAFF

Suffix

DDS

Business Name

DAVID KERMIT RATZLAFF DDS

Original Issue Date

06/09/1977

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

AURORA

State

Zip

60505

County

KANE

Ever Disciplined

LastModifiedDate

11/08/2006