KATHIA ALEXANDRA ORTIZ-CANTILLO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

KATHIA

Middle

ALEXANDRA

Last Name

ORTIZ-CANTILLO

Business Name

KATHIA ALEXANDRA ORTIZ-CANTILLO

Original Issue Date

02/21/2003

Effective Date

07/13/2017

Expiration Date

09/30/2020

City

PALOS PARK

State

Zip

60464

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021