JONATHAN LEONARD OTTINO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****50

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

LEONARD

Last Name

OTTINO

Suffix

Business Name

JONATHAN LEONARD OTTINO OD

Original Issue Date

01/16/2004

Effective Date

02/08/2016

Expiration Date

03/31/2018

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018