MARIA R ORTIZ DPM - Podiatrist License in Illinois | # 016004572

MARIA R ORTIZ DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004572

License Status

NOT RENEWED

Business

N

First Name

MARIA

Middle

R

Last Name

ORTIZ

Suffix

DPM

Business Name

MARIA R ORTIZ DPM

Original Issue Date

08/21/1991

Effective Date

02/01/2017

Expiration Date

01/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

03/28/2019