MEGAN BIDGOLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

MEGAN

Last Name

BIDGOLI

Suffix

Business Name

MEGAN BIDGOLI MD

Original Issue Date

12/01/2010

Effective Date

12/01/2010

Expiration Date

07/31/2011

City

ANN ARBOR

State

Zip

48103

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011