License holder summary

OTTENWELLER, MARK RICHARD, MD is a Medical - Physician licensed to practice in Georgia. The address on file for OTTENWELLER, MARK RICHARD, MD is 353 WEST LANCASTER AVENUE, WAYNE 19087. This doctor license is not current. The license was granted 10/09/1986 and expired on 01/31/2013.

Georgia

Composite Medical Board

OTTENWELLER, MARK RICHARD, MD
Medical - Physician
License number
029060
Date granted
10/09/1986
Date expires
01/31/2013
Class
Medical - Physician
Status
Lapsed
Address
353 WEST LANCASTER AVENUE
georgiadoctors.net
ID 38070273
LAST UPDATED 2026-04-14 18:09:31 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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