JERRY GUITON ROTHROCK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

First Name

JERRY GUITON

Last Name

ROTHROCK

Suffix

DDS

Business Name

JERRY GUITON ROTHROCK DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005