GEORGE ALFRED PORTILLA
Physician
Indiana 01028161A Expired Non-Renewable
This Indiana license was held by GEORGE ALFRED PORTILLA. The license is no longer active. It was granted on 03/03/1978 and expired on 06/30/1980
LICENSE DETAILS
- License Number: 01028161A
- Category: Physician
- Status: Expired Non-Renewable
- Date Granted: 03/03/1978 (about 46 years ago)
- Expiry Date: 06/30/1980 (almost 44 years ago)
LOCATIONS
A Address
LA CROSSE WI 54601