BRIAN R ROTSCH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

NOT RENEWED

Business

First Name

BRIAN R

Last Name

ROTSCH

Suffix

DDS

Business Name

BRIAN R ROTSCH DDS

Original Issue Date

12/23/1986

Effective Date

09/30/2015

Expiration Date

09/30/2018

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018