License holder summary

GENGHIS N PORTILLO is a Graduate Medical Trainee licensed to practice in Pennsylvania. This medical practitioner license is not current. The license was granted 07/01/1995 and expired on 06/30/1996.

Department of State

Board of Medicine

GENGHIS N PORTILLO
Graduate Medical Trainee
License number
MT036153T
Date granted
07/01/1995
Date expires
06/30/1996
Class
Graduate Medical Trainee
Status
Inactive
medicinepa.com
ID 37558139
LAST UPDATED 2024-03-10 13:09:24 UTC

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