KIMBERLY OTTONI MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****98

NOT RENEWED

N

MD

KIMBERLY

OTTONI

KIMBERLY OTTONI MD

09/16/2021

09/16/2021

07/31/2023

GROSSE ILE

MI

48138

WAYNE

PRACTITIONER

II III IV V

N

11/30/2023