LORI JK PORTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

LORI

Middle

Last Name

PORTER

Suffix

Business Name

LORI JK PORTER MD

Original Issue Date

10/31/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

VANDALIA

State

Zip

62471

County

FAYETTE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020