ROMULO ERNESTO ORTEGA 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

First Name

ROMULO ERNESTO

Last Name

ORTEGA

Suffix

Business Name

ROMULO ERNESTO ORTEGA MD

Original Issue Date

10/19/1983

Effective Date

06/23/2020

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023