OTTO JAMES TOR DDS

Business Entity
ACTIVE

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****53

ACTIVE

N

OTTO

JAMES

TOR

DDS

OTTO JAMES TOR DDS

01/01/1998

08/14/2024

09/30/2027

ORLAND PARK

IL

60462

COOK

II III IV V

N

08/14/2024