JOSHUA A PORTER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005401

License Status

NOT RENEWED

Business

First Name

JOSHUA

Middle

Last Name

PORTER

Business Name

JOSHUA A PORTER

Original Issue Date

02/04/2015

Effective Date

02/19/2016

Expiration Date

03/01/2018

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/10/2018