CYNTHIA L POORTENGA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070468

License Status

NOT RENEWED

Business

First Name

CYNTHIA L

Last Name

POORTENGA

Suffix

Business Name

CYNTHIA L POORTENGA MD

Original Issue Date

05/02/1985

Effective Date

05/02/1985

Expiration Date

07/31/1987

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006