BERTRAND BEZANCHONG TEH FONJI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

Title

First Name

BERTRAND

Middle

BEZANCHONG TEH

Last Name

FONJI

Business Name

BERTRAND BEZANCHONG TEH FONJI MD

Original Issue Date

01/02/2019

Effective Date

01/02/2019

Expiration Date

09/30/2020

City

ORLANDO

State

Zip

32801

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021