NISCHALA RAJEGOWDA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

Title

First Name

NISCHALA

Last Name

RAJEGOWDA

Business Name

NISCHALA RAJEGOWDA MD

Original Issue Date

03/04/2021

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

CUMMING

State

Zip

30041

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023