CAMILO EMILIO CANO PORTILLO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065052

License Status

CANCELLED

Business

Title

First Name

CAMILO

Middle

EMILIO

Last Name

CANO PORTILLO

Business Name

CAMILO EMILIO CANO PORTILLO MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

LOS ANGELES

State

Zip

90066

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/06/2014