RONALD OTTO DANIEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

RONALD OTTO

Last Name

DANIEL

Suffix

Business Name

RONALD OTTO DANIEL MD

Original Issue Date

09/02/1981

Effective Date

09/02/1981

Expiration Date

07/31/2008

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008