JORGE GUY ORTIZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061178

License Status

CANCELLED

Business

Title

First Name

JORGE

Middle

GUY

Last Name

ORTIZ

Business Name

JORGE GUY ORTIZ MD

Original Issue Date

06/22/2015

Effective Date

06/22/2015

Expiration Date

06/21/2016

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

05/19/2015