NORMAN DAVID ROTBLAT DDS - Dentist License in Illinois | # 137000177

NORMAN DAVID ROTBLAT DDS

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000177

License Status

INACTIVE

Business

N

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

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

10/17/2005