BRETT MATTHEW PORTER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062122

License Status

EXPIRED

Business

Title

First Name

BRETT

Middle

MATTHEW

Last Name

PORTER

Business Name

BRETT MATTHEW PORTER MD

Original Issue Date

06/25/2012

Effective Date

06/25/2012

Expiration Date

06/24/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/04/2015