EDWIN R PORRES MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060996

License Status

INACTIVE

Business

First Name

EDWIN

Middle

Last Name

PORRES

Suffix

Business Name

EDWIN R PORRES MD

Original Issue Date

09/11/1980

Effective Date

09/11/1980

Expiration Date

07/31/1987

City

HUNTINGTON

State

Zip

25701

Ever Disciplined

LastModifiedDate

07/27/2007