License holder summary

TODD MICHAEL OTSTOT is a Board Of Medicine licensed to practice in Idaho. The address on file for TODD MICHAEL OTSTOT is Saint Alphonsus Medical Group Nampa ID 83687. This licensed professional license is current. The license was granted 07/27/2001 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

TODD MICHAEL OTSTOT
Board Of Medicine
License number
PA-356
Date granted
07/27/2001
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
Saint Alphonsus Medical Group Nampa ID 83687
idaholicensing.com
ID 48361633
LAST UPDATED 2024-04-12 19:18:12 UTC

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