JAGDEEP SUBODH BIJWADIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

Title

First Name

JAGDEEP

Middle

SUBODH

Last Name

BIJWADIA

Business Name

JAGDEEP SUBODH BIJWADIA MD

Original Issue Date

01/19/2018

Effective Date

01/19/2018

Expiration Date

09/30/2020

City

SAINT PAUL

State

Zip

55105

County

MINNESOTA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021