NICHOLAS CHRISTIAN OTTEN
Physician/surgeon


Address: 10400 75th St, Kenosha, WI 53142

NICHOLAS CHRISTIAN OTTEN (Credential# 1690038) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 30, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.

Business Overview

NICHOLAS CHRISTIAN OTTEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064508. The credential type is physician/surgeon. The effective date is October 30, 2019. The expiration date is July 31, 2020. The business address is 10400 75th St, Kenosha, WI 53142. The current status is active.

Basic Information

Licensee Name NICHOLAS CHRISTIAN OTTEN
Credential ID 1690038
Credential Number 1.064508
Credential Type Physician/Surgeon
Business Address 10400 75th St
Kenosha
WI 53142
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-10-30
Effective Date 2019-10-30
Expiration Date 2020-07-31
Refresh Date 2019-10-31

Office Location

Street Address 10400 75th St
City Kenosha
State WI
Zip Code 53142

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Ocean Spray Cranberries Inc 7800 South 60th Avenue, Kenosha, WI 53142 Non-alcoholic Beverage & Water Bottlers 2019-09-06 ~ 2020-06-30
Dawn F Koch 6915 67th St., Kenosha, WI 53142 Registered Nurse 2019-10-01 ~ 2020-09-30
Pamela Lynn Ward 6328 73rd St Apt 206, Kenosha, WI 53142 Registered Nurse 2016-08-15 ~ 2017-06-30
Scott R Johnson · Pci Energy Services 6630 33rd Avenue, Kenosha, WI 53142 Heating, Piping & Cooling Limited Journeyperson 2010-09-01 ~ 2011-08-31
William T Hendrick 6824 103rd Avenue, Kenosha, WI 53142 Chiropractor 2010-04-01 ~ 2011-03-31
Sandra Riese 3415 88th Street, Kenosha, WI 53142 Registered Nurse 2006-12-07 ~ 2007-12-31
Susan A Gonzales 10932 75th Street, Kenosha, WI 53142 Registered Nurse 2000-10-11 ~ 2001-11-30
Jeffrey J Gemignani 5229 83rd St, Kenosha, WI 53142-2221 Registered Nurse 2016-06-01 ~ 2017-05-31
Kimberly Lynn Gonyo 4501 88th Pl, Kenosha, WI 53142-2451 Registered Nurse - Temporary 2020-05-05 ~ 2020-09-02
Kenneth D Stolfi 6352 30th Ave, Kenosha, WI 53142-3460 Public Service Technician - Telephone 2011-03-11 ~ 2011-09-30
Find all Licenses in zip 53142

Competitor

Search similar business entities

City Kenosha
Zip Code 53142
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Kenosha

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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