STEVEN MYLES PORTMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055549

License Status

NOT RENEWED

Business

First Name

STEVEN MYLES

Last Name

PORTMAN

Suffix

Business Name

STEVEN MYLES PORTMAN MD

Original Issue Date

08/22/1977

Effective Date

08/22/1977

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006