JONATHAN A ORTMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

First Name

JONATHAN A

Last Name

ORTMAN

Suffix

Business Name

JONATHAN A ORTMAN MD

Original Issue Date

09/13/1988

Effective Date

05/15/2023

Expiration Date

07/31/2026

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/15/2023