ORLANDO PORTAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119036

License Status

NOT RENEWED

Business

First Name

ORLANDO

Last Name

PORTAL

Suffix

Business Name

ORLANDO PORTAL MD

Original Issue Date

07/23/2007

Effective Date

07/23/2007

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008