AILEEN PORTUGAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166387

License Status

ACTIVE

Business

Title

First Name

AILEEN

Last Name

PORTUGAL

Business Name

AILEEN PORTUGAL MD

Original Issue Date

08/08/2023

Effective Date

08/08/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

Ever Disciplined

LastModifiedDate

07/05/2023