PHILIP A ORTIZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006070

License Status

NOT RENEWED

Business

First Name

PHILIP

Middle

Last Name

ORTIZ

Suffix

Business Name

PHILIP A ORTIZ OD

Original Issue Date

02/23/2010

Effective Date

03/24/2014

Expiration Date

03/31/2016

City

MORRIS

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016