MICHAEL ALAN PORTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

ALAN

Last Name

PORTE

Business Name

MICHAEL ALAN PORTE MD

Original Issue Date

12/22/1982

Effective Date

12/22/1982

Expiration Date

07/31/1987

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020