ROSA N ORTEGA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

ACTIVE

Business

First Name

ROSA

Middle

Last Name

ORTEGA

Suffix

DDS

Business Name

ROSA N ORTEGA DDS

Original Issue Date

08/20/2004

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

POWELL

State

Zip

43065

County

DELAWARE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/24/2024