BRIAN MICHAEL JURBALA
LICENSE NUMBER: ME70116 

Profession
MEDICAL DOCTOR
License/Activity StatusControlled Substance Prescriber
CLEAR/ACTIVENO
Qualifications
Dispensing Practitioner
License Expiration DateLicense Original Issue Date
1/31/201603/13/1996
Discipline on FilePublic Complaint
NONO
Address of Record
3317 US HWY. 98 SOUTH
SUITE 9
LAKELAND, FL33803
UNITED STATES

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