LAUREL G PORTER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091899

License Status

NOT RENEWED

Business

First Name

LAUREL G

Last Name

PORTER

Business Name

LAUREL G PORTER

Original Issue Date

09/21/1995

Effective Date

09/21/1995

Expiration Date

07/31/2002

City

NEW YORK

State

Zip

10025

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/09/2006