JOSUE PORTILLO DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075128

License Status

EXPIRED

Business

Title

First Name

JOSUE

Last Name

PORTILLO

Business Name

JOSUE PORTILLO DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

10/11/2022