NORMAN DAVID ROTBLAT DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000177

License Status

INACTIVE

Business

First Name

NORMAN DAVID

Last Name

ROTBLAT

Suffix

DDS

Business Name

NORMAN DAVID ROTBLAT DDS

Original Issue Date

12/16/1989

Effective Date

12/16/1989

Expiration Date

09/30/2002

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

10/17/2005