AFIYA J BERNARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

AFIYA

Middle

Last Name

BERNARD

Suffix

Business Name

AFIYA J BERNARD MD

Original Issue Date

08/27/2007

Effective Date

08/27/2007

Expiration Date

07/31/2008

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008