MANUEL PORTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042950

License Status

NOT RENEWED

Business

First Name

MANUEL

Last Name

PORTH

Suffix

Business Name

MANUEL PORTH MD

Original Issue Date

09/26/1969

Effective Date

09/26/1969

Expiration Date

07/01/1980

City

CORAL SPRINGS

State

Zip

33065

County

FLORIDA

Ever Disciplined

LastModifiedDate

06/11/2019