JACK S OTTO DDS - Dentist License in Illinois | # 019015770

JACK S OTTO DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015770

License Status

NOT RENEWED

Business

N

First Name

JACK S

Last Name

OTTO

Suffix

DDS

Business Name

JACK S OTTO DDS

Original Issue Date

12/15/1976

Effective Date

12/15/1976

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005