ROBERT A WHITTAKER MD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000429

License Status

ACTIVE

Business

Title

First Name

ROBERT A

Last Name

WHITTAKER

Business Name

ROBERT A WHITTAKER MD

Original Issue Date

06/25/1997

Effective Date

06/09/2024

Expiration Date

09/30/2027

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

06/09/2024