FAITH D OTTERY MD - Medical Doctor License in Wisconsin | # 036066561

FAITH D OTTERY MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066561

License Status

NOT RENEWED

Business

N

First Name

FAITH D

Last Name

OTTERY

Suffix

MD

Business Name

FAITH D OTTERY MD

Original Issue Date

05/20/1983

Effective Date

05/20/1983

Expiration Date

07/31/1987

State

WI

Ever Disciplined

N

LastModifiedDate

09/20/2006