ERIC H ORTH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108722

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

Last Name

ORTH

Suffix

Business Name

ERIC H ORTH DO

Original Issue Date

03/05/2003

Effective Date

03/05/2003

Expiration Date

07/31/2005

City

PEKIN

State

Zip

61555

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/09/2006