PREBEN BJERREGAARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

PREBEN

Last Name

BJERREGAARD

Suffix

Business Name

PREBEN BJERREGAARD MD

Original Issue Date

03/17/1997

Effective Date

03/17/1997

Expiration Date

07/31/2008

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008