ALEXANDER ROYZENBLAT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

ALEXANDER

Last Name

ROYZENBLAT

Suffix

DDS

Business Name

ALEXANDER ROYZENBLAT DDS

Original Issue Date

08/27/2010

Effective Date

05/29/2013

Expiration Date

09/30/2015

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016