Jeffrey Alan Portillos
Psychiatric at Raccoon Ln, Pueblo, CO

License number
Colorado 2798
Issued Date
Feb 15, 1983
Renew Date
Mar 31, 1997
Expiration Date
Mar 31, 1997
Type
Psychiatric Technician (Mentally Ill)
Address
Address
3518 Raccoon Ln, Pueblo, CO 81005