The holder whose full name is PORTILLA, GEORGE ALFRED,come from LA CROSSE WI,hold the Physician license(NO.01028161A) which status is Expired Non-Renewable.
| Name | PORTILLA, GEORGE ALFRED |
|---|---|
| License Number | 01028161A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | LA CROSSE |
| State | WI |