ERIC W PORRITT DO - Medical Doctor License in Ae | # 036124424

ERIC W PORRITT DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124424

License Status

NOT RENEWED

Business

N

Title

DO

First Name

ERIC

Middle

W

Last Name

PORRITT

Business Name

ERIC W PORRITT DO

Original Issue Date

09/28/2009

Effective Date

04/05/2011

Expiration Date

07/31/2014

State

AE

Ever Disciplined

N

LastModifiedDate

11/17/2014