KEITH G PORTER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028949

License Status

EXPIRED

Business

First Name

KEITH G

Last Name

PORTER

Business Name

KEITH G PORTER

Original Issue Date

07/01/1992

Effective Date

07/01/1992

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006