David J. Ottilie

Controlled Substance Registration - Dentist

Indiana  12008013C   Expired

This Indiana license was held by David J. Ottilie. The license is no longer active. It was granted on 07/18/1986 and expired on 03/01/1990

LICENSE DETAILS

  • License Number: 12008013C
  • Category: CSR-Dentist
  • Status: Expired
  • Date Granted: 07/18/1986 (almost 38 years ago)
  • Expiry Date: 03/01/1990 (over 34 years ago)

LOCATIONS

A Address

727 E MAIN STREET, PLAINFIELD IN 46168