WILLIAM H ORTMAN DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

CANCELLED

Business

First Name

WILLIAM H

Last Name

ORTMAN

Suffix

DDS

Business Name

WILLIAM H ORTMAN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

GALENA

State

Zip

61036

County

JO DAVIESS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2006