MICHAEL DAVID OTTNEY DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****71

NOT RENEWED

N

MICHAEL

DAVID

OTTNEY

DO

MICHAEL DAVID OTTNEY DO

03/03/2006

12/27/2011

07/31/2014

DECATUR

IL

62526

MACON

II III IV V

N

04/05/2020