JESSICA PORTILLO ROMERO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

Title

First Name

JESSICA

Last Name

PORTILLO ROMERO

Business Name

JESSICA PORTILLO ROMERO MD

Original Issue Date

01/23/2012

Effective Date

07/03/2014

Expiration Date

07/31/2017

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017