CRAIG ANTHONY PORTELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122275

License Status

NOT RENEWED

Business

Title

First Name

CRAIG

Middle

ANTHONY

Last Name

PORTELL

Business Name

CRAIG ANTHONY PORTELL MD

Original Issue Date

12/02/2008

Effective Date

12/02/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011