LARRY DALE OTTE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000430

License Status

ACTIVE

Business

First Name

LARRY DALE

Last Name

OTTE

Suffix

DMD

Business Name

LARRY DALE OTTE DMD

Original Issue Date

07/01/1997

Effective Date

08/02/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

08/02/2024