JEFFERY DOUGLAS OTTO DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038010049

License Status

NOT RENEWED

Business

First Name

JEFFERY

Middle

DOUGLAS

Last Name

OTTO

Suffix

Business Name

JEFFERY DOUGLAS OTTO DC

Original Issue Date

11/07/2003

Effective Date

11/07/2003

Expiration Date

07/31/2005

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/09/2006