BRUCE EDWARD ROTTER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

First Name

BRUCE

Middle

EDWARD

Last Name

ROTTER

Suffix

DMD

Business Name

BRUCE EDWARD ROTTER DMD

Original Issue Date

12/09/1999

Effective Date

12/09/1999

Expiration Date

09/30/2000

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005