GREGORY A OTTERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

GREGORY A

Last Name

OTTERSON

Suffix

Business Name

GREGORY A OTTERSON MD

Original Issue Date

03/22/1988

Effective Date

03/22/1988

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006