ANDRES VIDOVICH-ORTIZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114069

License Status

NOT RENEWED

Business

First Name

ANDRES

Last Name

VIDOVICH-ORTIZ

Suffix

Business Name

ANDRES VIDOVICH-ORTIZ MD

Original Issue Date

06/29/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008