ALLYSON E OTTEN DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001194

License Status

ACTIVE

Business

Title

DPM

First Name

ALLYSON

Middle

Last Name

OTTEN

Business Name

ALLYSON E OTTEN DPM

Original Issue Date

06/21/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

ROCKFORD

State

Zip

61108

Ever Disciplined

LastModifiedDate

06/21/2023