MARIA KEZIA LOURDES PORMENTO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081978

License Status

ACTIVE

Business

First Name

MARIA KEZIA LOURDES

Last Name

PORMENTO

Business Name

MARIA KEZIA LOURDES PORMENTO

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/16/2023