DONALD WAYNE PORTER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

DONALD WAYNE

Last Name

PORTER

Suffix

Business Name

DONALD WAYNE PORTER DO

Original Issue Date

01/01/1997

Effective Date

07/25/2014

Expiration Date

07/31/2017

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017