ARCADIO F ORTIZ JR MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****67

NOT RENEWED

N

ARCADIO F

ORTIZ JR

MD

ARCADIO F ORTIZ JR MD

01/01/1997

07/31/2002

DOWNERS GROVE

IL

60515

DUPAGE

II III IV V

N

10/09/2006