License holder summary

GEORGE ALFRED PORTILLA is a Physician licensed to practice in Indiana. The address on file for GEORGE ALFRED PORTILLA is LA CROSSE WI 54601. This licensed professional license is not current. The license was granted 03/03/1978 and expired on 06/30/1980.

Indiana

Professional Licensing Agency

GEORGE ALFRED PORTILLA
Physician
License number
01028161A
Date granted
03/03/1978
Date expires
06/30/1980
Class
Physician
Status
Expired Non-Renewable
Address
LA CROSSE WI 54601
indianalicensing.org
ID 6067107
LAST UPDATED 2024-03-17 07:12:09 UTC

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