JOSHUA A PORTER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****90

License Status

NOT RENEWED

Business

First Name

JOSHUA

Middle

Last Name

PORTER

Business Name

JOSHUA A PORTER

Original Issue Date

06/29/2015

Effective Date

02/19/2016

Expiration Date

03/01/2018

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

05/10/2018