JOANNA Y ORTIZ MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****48

NOT RENEWED

N

JOANNA Y

ORTIZ

MD

JOANNA Y ORTIZ MD

07/03/1995

05/16/2011

07/31/2014

BURR RIDGE

IL

60527

DUPAGE

II III IV V

N

11/17/2014