Michael Edward Porvaznik
Controlled Substance Registration - Physician
Indiana 01060166B Active
This Indiana license is held by Michael Edward Porvaznik. The license is currently active. It was granted on 01/28/2005 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01060166B
- Category: CSR-Physician
- Status: Active
- Date Granted: 01/28/2005 (over 20 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
2605 East Creek's Edge Drive, Bloomington IN 47401
Are you Michael Edward Porvaznik? Show the world that you're licensed by displaying your personal badge.
Get Badge