HANNAH BELNAP PORTER Physician Assistant License verification

Business Entity

CANCELLED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****13

License Status

CANCELLED

Business

First Name

HANNAH

Middle

BELNAP

Last Name

PORTER

Business Name

HANNAH BELNAP PORTER

Original Issue Date

09/16/2008

Effective Date

02/25/2010

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

03/14/2012