THADDEUS JANUS ORTYN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

Title

DDS

First Name

THADDEUS

Middle

JANUS

Last Name

ORTYN

Business Name

THADDEUS JANUS ORTYN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

City

PORT WASHINGTON

State

Zip

53074

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005