DONALD EUGENE BORTZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

NOT RENEWED

Business

First Name

DONALD EUGENE

Last Name

BORTZ

Suffix

DDS

Business Name

DONALD EUGENE BORTZ DDS

Original Issue Date

01/01/1998

Effective Date

07/09/2012

Expiration Date

09/30/2015

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016