RICHARD GARY ROSENBLATT DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

ACTIVE

Business

First Name

RICHARD

Middle

GARY

Last Name

ROSENBLATT

Suffix

DMD

Business Name

RICHARD GARY ROSENBLATT DMD

Original Issue Date

03/19/1999

Effective Date

07/05/2024

Expiration Date

09/30/2027

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/05/2024