LAUREN DANIELLE OTTENHOFF DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066394

License Status

EXPIRED

Business

Title

First Name

LAUREN

Middle

DANIELLE

Last Name

OTTENHOFF

Business Name

LAUREN DANIELLE OTTENHOFF DO

Original Issue Date

06/22/2018

Effective Date

06/22/2018

Expiration Date

06/21/2019

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

10/02/2019