JESSEE PORTER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005796

License Status

NOT RENEWED

Business

First Name

JESSEE

Last Name

PORTER

Business Name

JESSEE PORTER

Original Issue Date

03/11/2016

Effective Date

03/09/2018

Expiration Date

03/01/2020

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

11/24/2020