KEITH G PORTER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095026

License Status

NOT RENEWED

Business

First Name

KEITH G

Last Name

PORTER

Business Name

KEITH G PORTER

Original Issue Date

03/13/1997

Effective Date

03/13/1997

Expiration Date

07/31/1999

City

KINGSPORT

State

Zip

37660

County

TENNESSEE

Ever Disciplined

LastModifiedDate

09/20/2006