JOHN L ORTIZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

NOT RENEWED

Business

First Name

JOHN L

Last Name

ORTIZ

Suffix

DDS

Business Name

JOHN L ORTIZ DDS

Original Issue Date

08/10/1994

Effective Date

08/10/1994

Expiration Date

09/30/1998

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005