JOHN J OTTEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

JOSEPH

Last Name

OTTEN

Suffix

DDS

Business Name

JOHN J OTTEN DDS

Original Issue Date

04/25/1995

Effective Date

09/18/2018

Expiration Date

01/31/2022

City

OMAHA

State

Zip

68142

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022