DANIEL JOSEPH ROVELSTAD DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025936

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

JOSEPH

Last Name

ROVELSTAD

Suffix

DMD

Business Name

DANIEL JOSEPH ROVELSTAD DMD

Original Issue Date

08/14/2002

Effective Date

09/13/2012

Expiration Date

09/30/2015

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/08/2016