WAYNE RUPERT OTTO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036028552

License Status

INACTIVE

Business

First Name

WAYNE RUPERT

Last Name

OTTO

Suffix

Business Name

WAYNE RUPERT OTTO MD

Original Issue Date

02/02/1948

Effective Date

02/02/1948

Expiration Date

07/31/1987

City

FAIRFAX

State

Zip

22032

County

VIRGINIA

Ever Disciplined

LastModifiedDate

09/20/2006