MICHAEL ALAN PORTE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

ALAN

Last Name

PORTE

Business Name

MICHAEL ALAN PORTE MD

Original Issue Date

11/24/1997

Effective Date

08/29/2024

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023