STEPHANIE ANNE OTIS MD - Medical Doctor License in Missouri | # 036097671

STEPHANIE ANNE OTIS MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097671

License Status

INACTIVE

Business

N

First Name

STEPHANIE

Middle

ANNE

Last Name

OTIS

Suffix

MD

Business Name

STEPHANIE ANNE OTIS MD

Original Issue Date

04/15/1998

Effective Date

04/15/1998

Expiration Date

07/31/2002

State

MO

Ever Disciplined

N

LastModifiedDate

10/09/2006