SUJATA M WAGH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114735

License Status

INACTIVE

Business

First Name

SUJATA

Middle

Last Name

WAGH

Suffix

Business Name

SUJATA M WAGH MD

Original Issue Date

10/14/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

GAINESVILLE

State

Zip

32607

Ever Disciplined

LastModifiedDate

07/29/2008