LOUIS G PORTUGAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021112

License Status

EXPIRED

Business

First Name

LOUIS G

Last Name

PORTUGAL

Suffix

Business Name

LOUIS G PORTUGAL MD

Original Issue Date

06/02/1987

Effective Date

06/02/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

09/22/2006