NORMAN DAVID ROTBLAT DDS - Dentist License in Illinois | # 021000606

NORMAN DAVID ROTBLAT DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000606

License Status

INACTIVE

Business

N

First Name

NORMAN DAVID

Last Name

ROTBLAT

Suffix

DDS

Business Name

NORMAN DAVID ROTBLAT DDS

Original Issue Date

12/19/1968

Effective Date

12/19/1968

Expiration Date

09/30/2002

State

IL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

10/17/2005