MIGUEL JOSE SALAZAR PORTAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071361

License Status

EXPIRED

Business

Title

First Name

MIGUEL

Middle

JOSE

Last Name

SALAZAR PORTAL

Business Name

MIGUEL JOSE SALAZAR PORTAL MD

Original Issue Date

08/28/2017

Effective Date

08/28/2017

Expiration Date

08/27/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/19/2020