JOHN D PORT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031585

License Status

EXPIRED

Business

First Name

JOHN

Middle

Last Name

PORT

Business Name

JOHN D PORT

Original Issue Date

05/27/1994

Effective Date

05/27/1994

Expiration Date

06/19/1995

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

04/29/2010