MARK FREEMAN PORTER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015695

License Status

NOT RENEWED

Business

First Name

MARK FREEMAN

Last Name

PORTER

Suffix

DMD

Business Name

MARK FREEMAN PORTER DMD

Original Issue Date

09/20/1976

Effective Date

09/19/2018

Expiration Date

01/31/2022

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

05/09/2022