MICHAEL PURUCKHERR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Last Name

PURUCKHERR

Business Name

MICHAEL PURUCKHERR MD

Original Issue Date

07/29/2022

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

MIDLOTHIAN

State

Zip

23113

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2023