ERIC M BUGAIESKI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

First Name

ERIC M

Last Name

BUGAIESKI

Business Name

ERIC M BUGAIESKI

Original Issue Date

07/10/1995

Effective Date

04/30/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/30/2023