License holder summary

NICOLE JANELLE OTTO is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for NICOLE JANELLE OTTO is Philadelphia PA 19128. This medical practitioner license is not current. The license was granted 06/04/2002 and expired on 06/30/2007.

Department of State

Board of Medicine

NICOLE JANELLE OTTO
Graduate Medical Trainee
License number
MT180608
Date granted
06/04/2002
Date expires
06/30/2007
Class
Graduate Medical Trainee
Status
Inactive
Address
Philadelphia PA 19128
medicinepa.com
ID 37556361
LAST UPDATED 2024-03-04 23:13:06 UTC

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