CARL E OTTEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

CARL

Middle

Last Name

OTTEN

Suffix

Business Name

CARL E OTTEN MD

Original Issue Date

06/17/1991

Effective Date

06/17/1991

Expiration Date

07/31/1993

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006