MYISHA ZANINE PORTER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119469

License Status

ACTIVE

Business

First Name

MYISHA

Middle

ZANINE

Last Name

PORTER

Suffix

Business Name

MYISHA ZANINE PORTER MD

Original Issue Date

10/01/2007

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/21/2023