MITRA DEAN POORAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161760

License Status

ACTIVE

Business

Title

First Name

MITRA

Middle

DEAN

Last Name

POORAK

Business Name

MITRA DEAN POORAK MD

Original Issue Date

08/02/2022

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

ATLANTA

State

Zip

30338

County

DEKALB

Ever Disciplined

LastModifiedDate

07/07/2023