MARIA PORTELLOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

MARIA

Last Name

PORTELLOS

Suffix

Business Name

MARIA PORTELLOS MD

Original Issue Date

06/29/1997

Effective Date

06/29/1997

Expiration Date

07/31/1999

City

BARRINGTON

State

Zip

60010

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006