LUIS B OTERO JR Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109694

License Status

INACTIVE

Business

First Name

LUIS

Middle

Last Name

OTERO JR

Business Name

LUIS B OTERO JR

Original Issue Date

07/11/2003

Effective Date

04/25/2017

Expiration Date

09/30/2020

City

OXON HILL

State

Zip

20745

Ever Disciplined

LastModifiedDate

04/05/2020