KURTIS E WIRTH DDS Dentist License verification

KURTIS E WIRTH DDS

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000523

License Status

ACTIVE

Business

First Name

KURTIS E

Last Name

WIRTH

Suffix

DDS

Business Name

KURTIS E WIRTH DDS

Original Issue Date

05/10/2001

Effective Date

08/27/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

07/15/2025

Case Number

2022001165

Action

Surrender (Relinquish)

Discipline Start Date

07/15/2025

Discipline Reason

dental sedation permit voluntarily and permanently surrendered effective July 15, 2025 after Respondent failed to consult Cardiology and performed sedation with substandard care. Additionally, in November 2024, Respondent mailed medical records in a sealed biohazard bag to an attorney in response to the attorney's request for medical records causing the attorney's office to contact police out of distress.