KIP C PORTER DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038008094

License Status

NOT RENEWED

Business

First Name

KIP C

Last Name

PORTER

Suffix

Business Name

KIP C PORTER DC

Original Issue Date

12/24/1996

Effective Date

12/24/1996

Expiration Date

07/31/1999

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/21/2006