DAWN MICHELLE PORTER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

ACTIVE

Business

Title

First Name

DAWN

Middle

MICHELLE

Last Name

PORTER

Business Name

DAWN MICHELLE PORTER MD

Original Issue Date

06/29/1994

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

CASEYVILLE

State

Zip

62232

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023