OLGA L ORTUZAR - Dentist License in Illinois | # 018000296

OLGA L ORTUZAR

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000296

License Status

NOT RENEWED

Business

N

First Name

OLGA

Middle

L

Last Name

ORTUZAR

Business Name

OLGA L ORTUZAR

Original Issue Date

09/27/1988

Effective Date

09/27/1988

Expiration Date

09/27/1990

State

IL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

N

LastModifiedDate

07/30/2018