GABRIEL GONZALES PORTILLO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089092

License Status

NOT RENEWED

Business

First Name

GABRIEL

Last Name

GONZALES PORTILLO

Business Name

GABRIEL GONZALES PORTILLO

Original Issue Date

07/21/1994

Effective Date

07/21/1994

Expiration Date

07/31/2002

City

TUCSON

State

Zip

85718

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/09/2006