KEVIN JACK OTTE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

First Name

KEVIN JACK

Last Name

OTTE

Suffix

DDS

Business Name

KEVIN JACK OTTE DDS

Original Issue Date

11/05/1993

Effective Date

11/05/1993

Expiration Date

09/30/2000

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005