DAVID L PORTER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089396

License Status

ACTIVE

Business

First Name

DAVID L

Last Name

PORTER

Suffix

Business Name

DAVID L PORTER DO

Original Issue Date

08/10/1994

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/04/2023