SCOTT EDWARD PORTER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047158

License Status

EXPIRED

Business

First Name

SCOTT

Middle

EDWARD

Last Name

PORTER

Suffix

Business Name

SCOTT EDWARD PORTER MD

Original Issue Date

08/01/2004

Effective Date

08/01/2004

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Musculoskeletal Oncology

Ever Disciplined

LastModifiedDate

09/22/2006