BRUCE EDWARD ROTTER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

NOT RENEWED

Business

First Name

BRUCE

Middle

EDWARD

Last Name

ROTTER

Suffix

DMD

Business Name

BRUCE EDWARD ROTTER DMD

Original Issue Date

06/13/2002

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

GLEN CARBON

State

Zip

62034

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012