GRACE ORTMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

Title

First Name

GRACE

Last Name

ORTMAN

Business Name

GRACE ORTMAN MD

Original Issue Date

01/28/2020

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60626

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/25/2025