PAOLA ANDREA PORTELA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053537

License Status

CANCELLED

Business

Title

First Name

PAOLA

Middle

ANDREA

Last Name

PORTELA

Business Name

PAOLA ANDREA PORTELA MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60647

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

06/07/2007