CLAUDIA MARIELA VASQUEZ PORTILLO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085028

License Status

ACTIVE

Business

Title

First Name

CLAUDIA

Middle

MARIELA

Last Name

VASQUEZ PORTILLO

Business Name

CLAUDIA MARIELA VASQUEZ PORTILLO MD

Original Issue Date

07/10/2024

Effective Date

07/10/2024

Expiration Date

07/09/2027

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/10/2024