ROSALYN P PORTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127209

License Status

NOT RENEWED

Business

First Name

ROSALYN

Middle

Last Name

PORTER

Suffix

Business Name

ROSALYN P PORTER MD

Original Issue Date

02/17/2011

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021