AUREA PORTORREAL THOMAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

Title

First Name

AUREA

Middle

PORTORREAL

Last Name

THOMAS

Business Name

AUREA PORTORREAL THOMAS MD

Original Issue Date

03/05/2014

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

DES PLAINES

State

Zip

60016

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/25/2023