BLAIR PORTER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010683

License Status

ACTIVE

Business

First Name

BLAIR

Last Name

PORTER

Business Name

BLAIR PORTER

Original Issue Date

08/28/2024

Effective Date

08/28/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2025