DIANE PORTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063487

License Status

NOT RENEWED

Business

First Name

DIANE

Last Name

PORTER

Suffix

Business Name

DIANE PORTER MD

Original Issue Date

10/29/1981

Effective Date

09/28/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023