IRVING PORTNOY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041648

License Status

NOT RENEWED

Business

First Name

IRVING

Last Name

PORTNOY

Suffix

Business Name

IRVING PORTNOY MD

Original Issue Date

03/29/1968

Effective Date

03/29/1968

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006