ROBERT ORTA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000948

License Status

NOT RENEWED

Business

First Name

ROBERT

Last Name

ORTA

Business Name

ROBERT ORTA

Original Issue Date

07/19/1996

Effective Date

07/19/1996

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005