CHRISTIE NICHOLE PORTER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064623

License Status

CANCELLED

Business

Title

First Name

CHRISTIE

Middle

NICHOLE

Last Name

PORTER

Business Name

CHRISTIE NICHOLE PORTER DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

05/20/2014