COLIN J OTT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000095

License Status

NOT RENEWED

Business

First Name

COLIN

Middle

Last Name

OTT

Business Name

COLIN J OTT

Original Issue Date

05/09/1983

Effective Date

05/09/1983

Expiration Date

01/01/1998

City

WAUSAU

State

Zip

54401

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005