MICHAEL POURTABIB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

MICHAEL

Last Name

POURTABIB

Suffix

Business Name

MICHAEL POURTABIB MD

Original Issue Date

01/01/1997

Effective Date

07/12/2011

Expiration Date

07/31/2014

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020