SUSAN K KINAST-PORTER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121907

License Status

INACTIVE

Business

Title

First Name

SUSAN

Middle

Last Name

KINAST-PORTER

Business Name

SUSAN K KINAST-PORTER MD

Original Issue Date

09/04/2008

Effective Date

09/04/2008

Expiration Date

07/31/2011

City

MONROE

State

Zip

53566

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/07/2011