MARIA ELIZABETH DIMUSTO-POORTENGA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

Title

First Name

MARIA

Middle

ELIZABETH

Last Name

DIMUSTO-POORTENGA

Business Name

MARIA ELIZABETH DIMUSTO-POORTENGA MD

Original Issue Date

03/25/2025

Effective Date

03/25/2025

Expiration Date

07/31/2026

City

GRAND RAPIDS

State

Zip

49506

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/25/2025