DAVID JOHN ROSSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

First Name

DAVID JOHN

Last Name

ROSSEN

Suffix

DDS

Business Name

DAVID JOHN ROSSEN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1988

City

SANDWICH

State

Zip

60548

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005