OTIS WALTER CALVIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042208

License Status

NOT RENEWED

Business

First Name

OTIS WALTER

Last Name

CALVIN

Suffix

Business Name

OTIS WALTER CALVIN MD

Original Issue Date

10/23/1968

Effective Date

10/23/1968

City

SOUTH BEND

State

Zip

46617

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006