HUMBERTO PORTILLA MD - Medical Doctor License in Rhode Island | # 036047053

HUMBERTO PORTILLA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047053

License Status

NOT RENEWED

Business

N

First Name

HUMBERTO

Last Name

PORTILLA

Suffix

MD

Business Name

HUMBERTO PORTILLA MD

Original Issue Date

02/07/1973

Effective Date

02/07/1973

State

RI

Ever Disciplined

N

LastModifiedDate

09/20/2006