DAVID R BHASKAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

DAVID R

Last Name

BHASKAR

Suffix

Business Name

DAVID R BHASKAR MD

Original Issue Date

02/14/1991

Effective Date

05/21/2014

Expiration Date

07/31/2017

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017