CAMILO EMILIO CANO PORTILLO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

Title

First Name

CAMILO

Middle

EMILIO

Last Name

CANO PORTILLO

Business Name

CAMILO EMILIO CANO PORTILLO MD

Original Issue Date

02/17/2017

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

SACRAMENTO

State

Zip

95816

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2023