CHRISTIE NICHOLE PORTER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143785

License Status

NOT RENEWED

Business

Title

First Name

CHRISTIE

Middle

NICHOLE

Last Name

PORTER

Business Name

CHRISTIE NICHOLE PORTER DO

Original Issue Date

07/07/2017

Effective Date

07/07/2017

Expiration Date

09/30/2020

City

DUNLAP

State

Zip

61525

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021