ALFONSO A ORTIZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076539

License Status

NOT RENEWED

Business

First Name

ALFONSO

Middle

Last Name

ORTIZ

Suffix

Business Name

ALFONSO A ORTIZ MD

Original Issue Date

01/06/1988

Effective Date

01/06/1988

Expiration Date

07/31/1990

City

SAN JUAN

State

Zip

00926

Ever Disciplined

LastModifiedDate

05/25/2018

Case Number

2009005308

Action

Refuse To Renew

Discipline Start Date

08/03/2009

Discipline End Date

05/15/2018