BARRY OTSBY SEWALL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124357

License Status

NOT RENEWED

Business

First Name

BARRY

Middle

OTSBY

Last Name

SEWALL

Business Name

BARRY OTSBY SEWALL

Original Issue Date

09/09/2009

Effective Date

09/09/2009

Expiration Date

07/31/2011

City

WILLMAR

State

Zip

56201

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/14/2011