DAVID JORGE PEREZ-ORTIZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

JORGE

Last Name

PEREZ-ORTIZ

Business Name

DAVID JORGE PEREZ-ORTIZ MD

Original Issue Date

08/09/2010

Effective Date

04/28/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014