The holder whose full name is MC ATEE, OTT BENTON,come from MADISON IN,hold the Physician license(NO.01016633A) which status is Expired Non-Renewable.
| Name | MC ATEE, OTT BENTON |
|---|---|
| License Number | 01016633A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | MADISON |
| State | IN |