LOUIS G PORTUGAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

First Name

LOUIS G

Last Name

PORTUGAL

Suffix

Business Name

LOUIS G PORTUGAL MD

Original Issue Date

05/01/1991

Effective Date

06/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

06/04/2023