MARK M ORTINAU DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030127

License Status

NOT RENEWED

Business

Title

DDS

First Name

MARK

Middle

Last Name

ORTINAU

Business Name

MARK M ORTINAU DDS

Original Issue Date

03/17/2015

Effective Date

09/11/2015

Expiration Date

09/30/2018

City

VANDALIA

State

Zip

62471

County

FAYETTE

Ever Disciplined

LastModifiedDate

10/31/2018