CHAD THOMAS PORTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130167

License Status

NOT RENEWED

Business

Title

First Name

CHAD

Middle

THOMAS

Last Name

PORTER

Business Name

CHAD THOMAS PORTER MD

Original Issue Date

04/20/2012

Effective Date

04/20/2012

Expiration Date

07/31/2014

City

EDEN PRAIRIE

State

Zip

55344

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/17/2014