PHILIP A ORTIZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006070

License Status

NOT RENEWED

Business

First Name

PHILIP

Middle

Last Name

ORTIZ

Suffix

Business Name

PHILIP A ORTIZ OD

Original Issue Date

10/31/1987

Expiration Date

03/31/1988

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

09/01/2005