OTHNIEL S DOOLITTLE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058047

License Status

EXPIRED

Business

Title

First Name

OTHNIEL

Middle

Last Name

DOOLITTLE

Business Name

OTHNIEL S DOOLITTLE MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

10/07/2013