JOHN J OTTEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001773

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

JOSEPH

Last Name

OTTEN

Suffix

DDS

Business Name

JOHN J OTTEN DDS

Original Issue Date

10/10/1995

Effective Date

09/18/2018

Expiration Date

01/31/2022

City

OMAHA

State

Zip

68142

County

PEORIA

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

05/09/2022