ANTOINE EGBE BESSONG TABOT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

Title

First Name

ANTOINE

Last Name

EGBE BESSONG TABOT

Business Name

ANTOINE EGBE BESSONG TABOT MD

Original Issue Date

11/04/2025

Effective Date

11/04/2025

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

11/04/2025