LARRY DALE OTTE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

ACTIVE

Business

First Name

LARRY DALE

Last Name

OTTE

Suffix

DMD

Business Name

LARRY DALE OTTE DMD

Original Issue Date

07/21/2015

Effective Date

08/02/2024

Expiration Date

09/30/2027

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/02/2024