ROBERT STEPHEN OTTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145003

License Status

NOT RENEWED

Business

Title

First Name

ROBERT

Middle

STEPHEN

Last Name

OTTE

Business Name

ROBERT STEPHEN OTTE MD

Original Issue Date

01/30/2018

Effective Date

01/30/2018

Expiration Date

09/30/2020

City

EAST GRAND RAPIDS

State

Zip

49506

Ever Disciplined

LastModifiedDate

01/14/2021