HUGH CARLTON ORTMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042689

License Status

CANCELLED

Business

First Name

HUGH

Middle

CARLTON

Last Name

ORTMAN

Suffix

Business Name

HUGH CARLTON ORTMAN MD

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2004

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006