JOHN L ORTIZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023308

License Status

NOT RENEWED

Business

First Name

JOHN L

Last Name

ORTIZ

Suffix

DDS

Business Name

JOHN L ORTIZ DDS

Original Issue Date

08/10/1993

Effective Date

06/30/2009

Expiration Date

09/30/2012

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

11/14/2012