PAVAN BEJGUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

Title

First Name

PAVAN

Last Name

BEJGUM

Business Name

PAVAN BEJGUM MD

Original Issue Date

09/10/2010

Effective Date

05/07/2020

Expiration Date

07/31/2023

City

CARBONDALE

State

Zip

62901

County

MASSAC

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023