JOHN J OTTEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000384

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

JOSEPH

Last Name

OTTEN

Suffix

DDS

Business Name

JOHN J OTTEN DDS

Original Issue Date

08/23/1995

Effective Date

09/17/2015

Expiration Date

09/30/2018

City

PEORIA

State

Zip

61604

County

PEORIA

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

10/31/2018