ROSALYN P PORTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

ROSALYN

Middle

Last Name

PORTER

Suffix

Business Name

ROSALYN P PORTER MD

Original Issue Date

07/20/2011

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60661

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021