MICHAEL DAVID OTTNEY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

DAVID

Last Name

OTTNEY

Suffix

Business Name

MICHAEL DAVID OTTNEY DO

Original Issue Date

04/16/2007

Effective Date

12/23/2011

Expiration Date

07/31/2014

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020