ANDRES VIDOVICH-ORTIZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046813

License Status

EXPIRED

Business

First Name

ANDRES

Last Name

VIDOVICH-ORTIZ

Suffix

Business Name

ANDRES VIDOVICH-ORTIZ MD

Original Issue Date

06/23/2003

Effective Date

06/23/2003

Expiration Date

06/22/2005

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/12/2007