ANGEL M GARCIA OTANO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

Title

First Name

ANGEL

Middle

Last Name

GARCIA OTANO

Business Name

ANGEL M GARCIA OTANO MD

Original Issue Date

06/09/2010

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

YORKVILLE

State

Zip

60560

County

KENDALL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023