MIGUEL ANGEL ORTIZ DMD - Dentist License in Illinois | # 019029955

MIGUEL ANGEL ORTIZ DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029955

License Status

NOT RENEWED

Business

N

Title

DMD

First Name

MIGUEL

Middle

ANGEL

Last Name

ORTIZ

Business Name

MIGUEL ANGEL ORTIZ DMD

Original Issue Date

07/17/2014

Effective Date

06/16/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018