MARIA R ORTIZ DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

First Name

MARIA

Middle

Last Name

ORTIZ

Suffix

DPM

Business Name

MARIA R ORTIZ DPM

Original Issue Date

10/21/1991

Effective Date

02/01/2017

Expiration Date

01/31/2019

City

SKOKIE

State

Zip

60076

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019