GUSTAVO A DE LA PORTILLA

Department Of Health - Medical Doctor Restricted

Florida  RS140   Voided

This Florida license was held by GUSTAVO A DE LA PORTILLA. The license is no longer active. It was granted on 03/01/1974 and expired on 04/27/2001

LICENSE DETAILS

  • License Number: RS140
  • Category: Medical Doctor Restricted
  • Status: Voided
  • Date Granted: 03/01/1974 (about 51 years ago)
  • Expiry Date: 04/27/2001 (about 24 years ago)

LOCATIONS

A Primary Practice Address

8360 SW 8 STREET, MIAMI, FL 33144