EDWIN R PORRES MD - Medical Doctor License in West Virginia | # 036060996

EDWIN R PORRES MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060996

License Status

INACTIVE

Business

N

First Name

EDWIN

Middle

R

Last Name

PORRES

Suffix

MD

Business Name

EDWIN R PORRES MD

Original Issue Date

09/11/1980

Effective Date

09/11/1980

Expiration Date

07/31/1987

State

WV

Ever Disciplined

N

LastModifiedDate

07/27/2007