MICHAEL DAVID OTTNEY DO 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

MICHAEL

Middle

DAVID

Last Name

OTTNEY

Suffix

Business Name

MICHAEL DAVID OTTNEY DO

Original Issue Date

06/22/2000

Effective Date

06/22/2000

Expiration Date

07/31/2005

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020