License holder summary

PORTILLA, DIANA MARCELA, MD is a Medical - Physician licensed to practice in Georgia. The address on file for PORTILLA, DIANA MARCELA, MD is 234 EUGENIO MARIA DE HOSTOS BLVD | (149TH STREET), BRONX 10451. This doctor license is not current. The license was granted 07/11/2003 and expired on 06/30/2007.

Georgia

Composite Medical Board

PORTILLA, DIANA MARCELA, MD
Medical - Physician
License number
053365
Date granted
07/11/2003
Date expires
06/30/2007
Class
Medical - Physician
Status
Lapsed
Address
234 EUGENIO MARIA DE HOSTOS BLVD | (149TH STREET)
georgiadoctors.net
ID 38073559
LAST UPDATED 2021-06-29 14:27:47 UTC

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