KEITH S ROTTMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

First Name

KEITH S

Last Name

ROTTMAN

Suffix

DDS

Business Name

KEITH S ROTTMAN DDS

Original Issue Date

11/28/1983

Effective Date

11/28/1983

Expiration Date

09/30/1984

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005