ALPHONSO TROTTMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000003

License Status

NOT RENEWED

Business

First Name

ALPHONSO

Last Name

TROTTMAN

Suffix

DDS

Business Name

ALPHONSO TROTTMAN DDS

Original Issue Date

04/04/1989

Effective Date

04/04/1989

Expiration Date

04/10/1991

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/13/2005