STANLEY MATTHEW BUGAIESKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

STANLEY MATTHEW

Last Name

BUGAIESKI

Suffix

Business Name

STANLEY MATTHEW BUGAIESKI MD

Original Issue Date

01/01/1997

Effective Date

06/14/2011

Expiration Date

07/31/2014

City

MORTON

State

Zip

61550

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017