TERESA L OTA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082252

License Status

INACTIVE

Business

First Name

TERESA L

Last Name

OTA

Suffix

Business Name

TERESA L OTA MD

Original Issue Date

04/12/1991

Effective Date

04/12/1991

Expiration Date

07/31/1996

City

SALT LAKE CITY

State

Zip

84105

County

UTAH

Ever Disciplined

LastModifiedDate

09/20/2006