LISA BERNADETTE BHAGAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

First Name

LISA

Middle

BERNADETTE

Last Name

BHAGAN

Suffix

Business Name

LISA BERNADETTE BHAGAN MD

Original Issue Date

02/18/2022

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023