GREGORY A OTTERSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019806

License Status

EXPIRED

Business

First Name

GREGORY A

Last Name

OTTERSON

Suffix

Business Name

GREGORY A OTTERSON MD

Original Issue Date

06/26/1986

Effective Date

06/26/1986

Expiration Date

06/23/1989

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006