AGHAEGBULAM HARACHI UGA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058546

License Status

CANCELLED

Business

Title

First Name

AGHAEGBULAM

Middle

HARACHI

Last Name

UGA

Business Name

AGHAEGBULAM HARACHI UGA MD

Original Issue Date

06/26/2010

Effective Date

06/26/2010

Expiration Date

06/25/2013

City

BELLEVILLE

State

Zip

62220

Specialty/Qualifier

Internal Medicine/Psychiatry

Ever Disciplined

LastModifiedDate

05/17/2010