DEAN M PORTER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065158

License Status

INACTIVE

Business

First Name

DEAN M

Last Name

PORTER

Suffix

Business Name

DEAN M PORTER MD

Original Issue Date

08/20/1982

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006