LISA BERNADETTE BHAGAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

LISA

Middle

BERNADETTE

Last Name

BHAGAN

Suffix

Business Name

LISA BERNADETTE BHAGAN MD

Original Issue Date

04/14/2008

Effective Date

04/17/2018

Expiration Date

09/30/2020

City

MIAMI

State

Zip

33136

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021