ROGER A OTT JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

ROGER A

Last Name

OTT JR

Suffix

Business Name

ROGER A OTT JR MD

Original Issue Date

08/07/1985

Effective Date

08/07/1985

Expiration Date

07/31/1987

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006