TAJINEE PORTER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****05

License Status

ACTIVE

Business

First Name

TAJINEE

Last Name

PORTER

Business Name

TAJINEE PORTER

Original Issue Date

01/08/2026

Effective Date

01/08/2026

Expiration Date

03/01/2028

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/08/2026