ABRAHAM DENEKE BEZUNEH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

Title

First Name

ABRAHAM

Middle

DENEKE

Last Name

BEZUNEH

Business Name

ABRAHAM DENEKE BEZUNEH MD

Original Issue Date

03/21/2022

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2023