License holder summary

Julio C. Otazo is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Julio C. Otazo is St. Elizabeth Medical Center - attn: Rebecca Hatton, 1501 Hartford Street - medical staff office, Lafayette IN 47903. This licensed professional license is current. The license was granted 06/23/2009 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Julio C. Otazo
Controlled Substance Registration - Physician
License number
01066900B
Date granted
06/23/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Elizabeth Medical Center - attn: Rebecca Hatton, 1501 Hartford Street - medical staff office, Lafayette IN 47903
indianalicensing.org
ID 5880060
LAST UPDATED 2024-04-01 03:03:21 UTC

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