DAWN MICHELLE PORTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

Title

First Name

DAWN

Middle

MICHELLE

Last Name

PORTER

Business Name

DAWN MICHELLE PORTER MD

Original Issue Date

09/24/1996

Effective Date

09/24/1996

Expiration Date

07/31/1999

City

DES PLAINES

State

Zip

60016

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020