License Directory

Humberto Portilla Md

Expired

Illinois license 036047053

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036047053
Status
Expired (Not Renewed)
First issued
February 7, 1973
License holder
Humberto Portilla Md
Entity type
Individual

Classifications

More from the license record

Current term began
02/07/1973

Contact

E Providence, RI
Rhode Island County