JUAN PABLO PORTOCARRERO CACERES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070123

License Status

EXPIRED

Business

Title

First Name

JUAN

Middle

PABLO

Last Name

PORTOCARRERO CACERES

Business Name

JUAN PABLO PORTOCARRERO CACERES MD

Original Issue Date

06/22/2022

Effective Date

06/22/2022

Expiration Date

06/21/2023

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Renal Transplant

Ever Disciplined

LastModifiedDate

03/06/2024