BRUCE EDWARD ROTTER DMD - Dentist License in Illinois | # 137000365

BRUCE EDWARD ROTTER DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000365

License Status

NOT RENEWED

Business

N

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

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

05/09/2022