GREGORY H PORTLAND MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032905

License Status

EXPIRED

Business

Title

First Name

GREGORY

Middle

Last Name

PORTLAND

Business Name

GREGORY H PORTLAND MD

Original Issue Date

06/01/1995

Effective Date

06/01/1995

Expiration Date

06/19/2000

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006