RAED BARGOUT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

RAED

Last Name

BARGOUT

Business Name

RAED BARGOUT

Original Issue Date

08/22/2003

Effective Date

05/21/2008

Expiration Date

07/31/2011

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011