KATHERINE CAROL OTT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

Title

First Name

KATHERINE

Middle

CAROL

Last Name

OTT

Business Name

KATHERINE CAROL OTT MD

Original Issue Date

09/18/2019

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023