JOHN L ORTIZ 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

JOHN L

Last Name

ORTIZ

Suffix

DDS

Business Name

JOHN L ORTIZ DDS

Original Issue Date

08/16/1993

Effective Date

08/26/2009

Expiration Date

09/30/2012

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012