NICHOLAS CHRISTIAN OTTEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

CHRISTIAN

Last Name

OTTEN

Business Name

NICHOLAS CHRISTIAN OTTEN MD

Original Issue Date

09/15/2014

Effective Date

12/18/2023

Expiration Date

07/31/2026

City

BOLINGBROOK

State

Zip

60440

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021