CHRISTINA MARIE OTTERNESS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060379

License Status

EXPIRED

Business

First Name

CHRISTINA

Middle

MARIE

Last Name

OTTERNESS

Suffix

Business Name

CHRISTINA MARIE OTTERNESS DO

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Rotating Internship

Ever Disciplined

LastModifiedDate

08/29/2012