MARIA R ORTIZ DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004572

License Status

NOT RENEWED

Business

First Name

MARIA

Middle

Last Name

ORTIZ

Suffix

DPM

Business Name

MARIA R ORTIZ DPM

Original Issue Date

08/21/1991

Effective Date

02/01/2017

Expiration Date

01/31/2019

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

03/28/2019