SORIVETTE SURILLO ORTIZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071436

License Status

EXPIRED

Business

Title

First Name

SORIVETTE

Last Name

SURILLO ORTIZ

Business Name

SORIVETTE SURILLO ORTIZ MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/19/2020