BRUCE EDWARD ROTTER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

ACTIVE

Business

First Name

BRUCE

Middle

EDWARD

Last Name

ROTTER

Suffix

DMD

Business Name

BRUCE EDWARD ROTTER DMD

Original Issue Date

06/22/1993

Effective Date

07/16/2024

Expiration Date

09/30/2027

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/16/2024