BRIDGET AYINBONO AZERA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

Title

First Name

BRIDGET

Middle

AYINBONO

Last Name

AZERA

Business Name

BRIDGET AYINBONO AZERA MD

Original Issue Date

12/27/2021

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

WOODBURY

State

Zip

08096

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023