JESSICA PORTILLO ROMERO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129497

License Status

NOT RENEWED

Business

Title

First Name

JESSICA

Last Name

PORTILLO ROMERO

Business Name

JESSICA PORTILLO ROMERO MD

Original Issue Date

01/23/2012

Effective Date

07/03/2014

Expiration Date

07/31/2017

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

11/01/2017