JONATHAN A ORTMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021213

License Status

EXPIRED

Business

First Name

JONATHAN A

Last Name

ORTMAN

Suffix

Business Name

JONATHAN A ORTMAN MD

Original Issue Date

06/08/1987

Effective Date

06/08/1987

Expiration Date

07/01/1990

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006