TONY PORTELLES DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

Title

DMD

First Name

TONY

Last Name

PORTELLES

Business Name

TONY PORTELLES DMD

Original Issue Date

06/22/2023

Effective Date

06/22/2023

Expiration Date

09/30/2024

City

SPRING

State

Zip

77379

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2025