PHILIP A ORTIZ OD - Optometrist License in Illinois | # 047006070

PHILIP A ORTIZ OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006070

License Status

NOT RENEWED

Business

N

First Name

PHILIP

Middle

A

Last Name

ORTIZ

Suffix

OD

Business Name

PHILIP A ORTIZ OD

Original Issue Date

10/31/1987

Expiration Date

03/31/1988

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005