BRUCE EDWARD ROTTER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000365

License Status

NOT RENEWED

Business

First Name

BRUCE

Middle

EDWARD

Last Name

ROTTER

Suffix

DMD

Business Name

BRUCE EDWARD ROTTER DMD

Original Issue Date

11/05/1994

Effective Date

08/16/2018

Expiration Date

01/31/2022

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

05/09/2022