EDWARD M PORTMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064903

License Status

NOT RENEWED

Business

First Name

EDWARD M

Last Name

PORTMAN

Suffix

Business Name

EDWARD M PORTMAN MD

Original Issue Date

07/30/1982

Effective Date

07/30/1982

Expiration Date

07/31/1990

City

MADISON

State

Zip

53716

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/18/2007

Case Number

2007006799

Action

Refuse To Renew

Discipline Start Date

12/18/2007

Discipline Reason

after being disciplined in the state of Georgia.