NICOLE YVONNE OTTENS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126162

License Status

ACTIVE

Business

First Name

NICOLE

Middle

YVONNE

Last Name

OTTENS

Suffix

Business Name

NICOLE YVONNE OTTENS DO

Original Issue Date

06/28/2010

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

04/28/2023