AGHAEGBULAM HARACHI UGA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

Title

First Name

AGHAEGBULAM

Middle

HARACHI

Last Name

UGA

Business Name

AGHAEGBULAM HARACHI UGA MD

Original Issue Date

09/19/2012

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

BELLEVILLE

State

Zip

62220

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023