MICHAEL DAVID PURICELLI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

DAVID

Last Name

PURICELLI

Business Name

MICHAEL DAVID PURICELLI MD

Original Issue Date

12/30/2020

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

WAUNAKEE

State

Zip

53597

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2023