MICHAEL J BORTOLI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059361

License Status

INACTIVE

Business

First Name

MICHAEL J

Last Name

BORTOLI

Suffix

Business Name

MICHAEL J BORTOLI MD

Original Issue Date

09/18/1979

Effective Date

06/26/2014

Expiration Date

07/31/2017

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/11/2017