NICHOLAS CHRISTIAN OTTEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

CHRISTIAN

Last Name

OTTEN

Business Name

NICHOLAS CHRISTIAN OTTEN MD

Original Issue Date

12/29/2023

Effective Date

12/29/2023

Expiration Date

07/31/2026

City

STERLING

State

Zip

61081

County

WHITESIDE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/29/2023