GAIL S PORTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096731

License Status

NOT RENEWED

Business

First Name

GAIL

Middle

Last Name

PORTER

Suffix

Business Name

GAIL S PORTER MD

Original Issue Date

09/26/1997

Effective Date

09/26/1997

Expiration Date

07/31/2005

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006