FAITH D OTTERY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066561

License Status

NOT RENEWED

Business

First Name

FAITH D

Last Name

OTTERY

Suffix

Business Name

FAITH D OTTERY MD

Original Issue Date

05/20/1983

Effective Date

05/20/1983

Expiration Date

07/31/1987

City

MADISON

State

Zip

53705

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006