LIZA MILAGROS ORTIZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

Title

First Name

LIZA

Middle

MILAGROS

Last Name

ORTIZ

Business Name

LIZA MILAGROS ORTIZ MD

Original Issue Date

07/09/2012

Effective Date

06/13/2014

Expiration Date

07/31/2017

City

SOUTH PASADENA

State

Zip

91031

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017