SHAWN B OTTEMAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026620

License Status

EXPIRED

Business

First Name

SHAWN

Middle

Last Name

OTTEMAN

Business Name

SHAWN B OTTEMAN

Original Issue Date

05/10/1991

Effective Date

05/10/1991

Expiration Date

06/20/1992

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006