GABRIEL GONZALES PORTILLO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028915

License Status

EXPIRED

Business

First Name

GABRIEL

Last Name

GONZALES PORTILLO

Business Name

GABRIEL GONZALES PORTILLO

Original Issue Date

06/26/1992

Effective Date

06/26/1992

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

09/22/2006