AMANDA PORTER DAUTEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154503

License Status

ACTIVE

Business

Title

First Name

AMANDA

Middle

PORTER

Last Name

DAUTEN

Business Name

AMANDA PORTER DAUTEN MD

Original Issue Date

10/13/2020

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

07/04/2023