MICHAEL M KORBOL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****29

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

KORBOL

Business Name

MICHAEL M KORBOL

Original Issue Date

03/19/2015

Effective Date

01/29/2024

Expiration Date

03/01/2026

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025