JAIME TOMAS PORTELA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038246

License Status

NOT RENEWED

Business

First Name

JAIME TOMAS

Last Name

PORTELA

Suffix

Business Name

JAIME TOMAS PORTELA MD

Original Issue Date

12/06/1962

Effective Date

12/06/1962

City

BAYONNE

State

Zip

07002

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

09/20/2006