BRIAN L ORTMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

BRIAN L

Last Name

ORTMAN

Suffix

Business Name

BRIAN L ORTMAN MD

Original Issue Date

06/14/1988

Effective Date

06/14/1988

Expiration Date

07/31/1990

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006