MICHAEL PORUBCIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

First Name

MICHAEL

Last Name

PORUBCIN

Suffix

Business Name

MICHAEL PORUBCIN MD

Original Issue Date

06/15/1999

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023