JAIME TOMAS PORTELA MD - Medical Doctor License in New Jersey | # 036038246

JAIME TOMAS PORTELA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038246

License Status

NOT RENEWED

Business

N

First Name

JAIME TOMAS

Last Name

PORTELA

Suffix

MD

Business Name

JAIME TOMAS PORTELA MD

Original Issue Date

12/06/1962

Effective Date

12/06/1962

State

NJ

Ever Disciplined

N

LastModifiedDate

09/20/2006