PHILIP D DORTCH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016946

License Status

NOT RENEWED

Business

First Name

PHILIP D

Last Name

DORTCH

Suffix

DDS

Business Name

PHILIP D DORTCH DDS

Original Issue Date

09/07/1979

Effective Date

12/22/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2025