MEGAN M DAGHFAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

Title

First Name

MEGAN

Middle

Last Name

DAGHFAL

Business Name

MEGAN M DAGHFAL MD

Original Issue Date

12/29/2015

Effective Date

05/01/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2023