RANDALL OTTO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165366

License Status

ACTIVE

Business

Title

First Name

RANDALL

Last Name

OTTO

Business Name

RANDALL OTTO MD

Original Issue Date

06/21/2023

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63131

Ever Disciplined

LastModifiedDate

06/21/2023