TERRY JON ORTMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013894

License Status

NOT RENEWED

Business

Title

DDS

First Name

TERRY

Middle

JON

Last Name

ORTMAN

Business Name

TERRY JON ORTMAN DDS

Original Issue Date

07/07/1970

Effective Date

11/20/2015

Expiration Date

09/30/2018

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

10/31/2018