ORLANDO PORTAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

First Name

ORLANDO

Last Name

PORTAL

Suffix

Business Name

ORLANDO PORTAL MD

Original Issue Date

08/21/2007

Effective Date

08/21/2007

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008