JOHN W OTTEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036032136

License Status

NOT RENEWED

Business

First Name

JOHN W

Last Name

OTTEN

Suffix

Business Name

JOHN W OTTEN MD

Original Issue Date

08/26/1953

Effective Date

08/26/1953

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006