ASHOK J BHARUCHA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

INACTIVE

Business

First Name

ASHOK

Middle

Last Name

BHARUCHA

Suffix

Business Name

ASHOK J BHARUCHA MD

Original Issue Date

04/20/2009

Effective Date

04/20/2009

Expiration Date

07/31/2011

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011