TIMOTHY P ORTIZ Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****87

License Status

ACTIVE

Business

First Name

TIMOTHY P

Last Name

ORTIZ

Business Name

TIMOTHY P ORTIZ

Original Issue Date

07/03/1996

Effective Date

03/19/2026

Expiration Date

03/31/2028

City

MORRIS

State

Zip

60450

County

GRUNDY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/19/2026