LISSETTE C ORTIZ-FERRER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

LISSETTE C

Last Name

ORTIZ-FERRER

Suffix

Business Name

LISSETTE C ORTIZ-FERRER MD

Original Issue Date

07/29/1996

Effective Date

07/01/2014

Expiration Date

07/31/2017

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017