WILMAN R ORTEGA PEREZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

Title

First Name

WILMAN

Middle

Last Name

ORTEGA PEREZ

Business Name

WILMAN R ORTEGA PEREZ MD

Original Issue Date

03/19/1999

Effective Date

06/23/2014

Expiration Date

07/31/2017

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020