ISHFAQ H BHAT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

ISHFAQ

Middle

Last Name

BHAT

Suffix

Business Name

ISHFAQ H BHAT MD

Original Issue Date

05/21/2007

Effective Date

05/21/2007

Expiration Date

07/31/2008

City

OMAHA

State

Zip

68154

County

DOUGLAS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/07/2011