THADDEUS JANUS ORTYN DDS - Dentist License in Wisconsin | # 31*****48

THADDEUS JANUS ORTYN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

THADDEUS

Middle

JANUS

Last Name

ORTYN

Business Name

THADDEUS JANUS ORTYN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

State

WI

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

10/17/2005