DONALD J PORTELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

DONALD J

Last Name

PORTELL

Suffix

Business Name

DONALD J PORTELL MD

Original Issue Date

06/08/1987

Effective Date

06/08/1987

Expiration Date

07/31/1990

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006