License holder summary

Michael Edward Porvaznik is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Michael Edward Porvaznik is 2605 East Creek's Edge Drive, Bloomington IN 47401. This licensed professional license is current. The license was granted 01/28/2005 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Michael Edward Porvaznik
Controlled Substance Registration - Physician
License number
01060166B
Date granted
01/28/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2605 East Creek's Edge Drive, Bloomington IN 47401
indianalicensing.org
ID 5825311
LAST UPDATED 2024-04-04 04:44:00 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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