CARLOS R ARQUELLO PORTILLO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026998

License Status

EXPIRED

Business

First Name

CARLOS

Middle

Last Name

ARQUELLO PORTILLO

Business Name

CARLOS R ARQUELLO PORTILLO

Original Issue Date

05/30/1991

Effective Date

05/30/1991

Expiration Date

06/30/1994

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006