DONALD WAYNE PORTER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049761

License Status

NOT RENEWED

Business

First Name

DONALD WAYNE

Last Name

PORTER

Suffix

Business Name

DONALD WAYNE PORTER DO

Original Issue Date

08/28/1974

Effective Date

07/25/2014

Expiration Date

07/31/2017

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

11/01/2017