DAVID KERMIT RATZLAFF DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

NOT RENEWED

Business

First Name

DAVID KERMIT

Last Name

RATZLAFF

Suffix

DDS

Business Name

DAVID KERMIT RATZLAFF DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

AURORA

State

Zip

60505

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006