VERONICA NICOLE ORTIZ MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****66

NOT RENEWED

N

VERONICA

NICOLE

ORTIZ

MD

VERONICA NICOLE ORTIZ MD

08/21/2008

08/21/2008

07/31/2011

OAK PARK

IL

60302

COOK

PRACTITIONER

II III IV V

N

11/10/2011