BAHIJA SAOUF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

BAHIJA

Last Name

SAOUF

Suffix

Business Name

BAHIJA SAOUF MD

Original Issue Date

12/28/2006

Effective Date

12/28/2006

Expiration Date

07/31/2008

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008