MICHAEL DAVID OTTNEY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

DAVID

Last Name

OTTNEY

Suffix

Business Name

MICHAEL DAVID OTTNEY DO

Original Issue Date

01/06/2005

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

DANVILLE

State

Zip

61832

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023