LUCIANO ORTA III MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

First Name

LUCIANO

Last Name

ORTA III

Suffix

Business Name

LUCIANO ORTA III MD

Original Issue Date

06/11/1992

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

HARVARD

State

Zip

60033

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023