ASHRAF ABDURRAZAGH BAESHU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

Title

First Name

ASHRAF

Middle

ABDURRAZAGH

Last Name

BAESHU

Business Name

ASHRAF ABDURRAZAGH BAESHU MD

Original Issue Date

05/16/2016

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023