EILEEN MARIE BERNAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

Title

First Name

EILEEN

Middle

MARIE

Last Name

BERNAL

Business Name

EILEEN MARIE BERNAL MD

Original Issue Date

04/03/2021

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

ATLANTA

State

Zip

30339

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023