MARIA ELIZABETH DIMUSTO-POORTENGA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036173626

License Status

ACTIVE

Business

Title

First Name

MARIA

Middle

ELIZABETH

Last Name

DIMUSTO-POORTENGA

Business Name

MARIA ELIZABETH DIMUSTO-POORTENGA MD

Original Issue Date

02/05/2025

Effective Date

02/05/2025

Expiration Date

07/31/2026

City

GRAND RAPIDS

State

Zip

49506

Ever Disciplined

LastModifiedDate

02/05/2025