MOSAAB BAGEGNI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

Title

First Name

MOSAAB

Last Name

BAGEGNI

Business Name

MOSAAB BAGEGNI MD

Original Issue Date

01/20/2022

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023