DONALD J PORTELL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072191

License Status

INACTIVE

Business

First Name

DONALD J

Last Name

PORTELL

Suffix

Business Name

DONALD J PORTELL MD

Original Issue Date

12/23/1985

Effective Date

12/23/1985

Expiration Date

07/31/1993

City

NICEVILLE

State

Zip

32578

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006