MICHAEL PURUCKHERR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161516

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Last Name

PURUCKHERR

Business Name

MICHAEL PURUCKHERR MD

Original Issue Date

07/18/2022

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

BRUSH PRAIRIE

State

Zip

98606

Ever Disciplined

LastModifiedDate

10/30/2024