NORMAN DAVID ROTBLAT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

NOT RENEWED

Business

First Name

NORMAN DAVID

Last Name

ROTBLAT

Suffix

DDS

Business Name

NORMAN DAVID ROTBLAT DDS

Original Issue Date

06/16/1976

Effective Date

09/11/2012

Expiration Date

09/30/2015

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016