MANUEL ORTIZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039530

License Status

INACTIVE

Business

First Name

MANUEL

Last Name

ORTIZ

Suffix

Business Name

MANUEL ORTIZ MD

Original Issue Date

12/08/1964

Effective Date

12/08/1964

Expiration Date

07/31/1987

City

LAWRENCEVILLE

State

Zip

08648

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

09/20/2006