RUSTIN A WEST DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026913

License Status

NOT RENEWED

Business

First Name

RUSTIN

Middle

Last Name

WEST

Suffix

DDS

Business Name

RUSTIN A WEST DDS

Original Issue Date

11/10/2005

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

WISCONSIN

State

Zip

53233

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2006