KIMBERLY ELISE PORTALE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169160

License Status

ACTIVE

Business

Title

First Name

KIMBERLY

Middle

ELISE

Last Name

PORTALE

Business Name

KIMBERLY ELISE PORTALE DO

Original Issue Date

03/07/2024

Effective Date

03/07/2024

Expiration Date

07/31/2026

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

08/14/2023