JUDSON W OTT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

JUDSON W

Last Name

OTT

Suffix

Business Name

JUDSON W OTT MD

Original Issue Date

10/13/1993

Effective Date

07/27/2011

Expiration Date

07/31/2014

City

GALENA

State

Zip

61036

County

JO DAVIESS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014