OTHNIEL S DOOLITTLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

Title

First Name

OTHNIEL

Middle

Last Name

DOOLITTLE

Business Name

OTHNIEL S DOOLITTLE MD

Original Issue Date

08/15/2014

Effective Date

06/15/2017

Expiration Date

09/30/2020

City

CARBONDALE

State

Zip

62901

County

UNION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021