KENNETH B PORTER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

First Name

KENNETH B

Last Name

PORTER

Suffix

Business Name

KENNETH B PORTER MD

Original Issue Date

03/01/1988

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

LEMONT

State

Zip

60439

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023