KAROL LYNN OTTEMAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

Title

First Name

KAROL

Middle

LYNN

Last Name

OTTEMAN

Business Name

KAROL LYNN OTTEMAN DO

Original Issue Date

07/22/2022

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

SOUTH LYON

State

Zip

48178

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/20/2023