MIGUEL ANGEL ORTIZ DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029955

License Status

NOT RENEWED

Business

Title

DMD

First Name

MIGUEL

Middle

ANGEL

Last Name

ORTIZ

Business Name

MIGUEL ANGEL ORTIZ DMD

Original Issue Date

07/17/2014

Effective Date

06/16/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018