DONNA KAY PORTERFIELD DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

KAY

Last Name

PORTERFIELD

Suffix

DMD

Business Name

DONNA KAY PORTERFIELD DMD

Original Issue Date

10/14/1998

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/09/2022