CRAIG ANTHONY PORTELL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050821

License Status

EXPIRED

Business

Title

First Name

CRAIG

Middle

ANTHONY

Last Name

PORTELL

Business Name

CRAIG ANTHONY PORTELL MD

Original Issue Date

06/22/2006

Effective Date

06/22/2006

Expiration Date

06/21/2009

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/15/2009