JACK S OTTO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015770

License Status

NOT RENEWED

Business

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

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/12/2005