DANIEL HAILEMARIAM MOGES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

HAILEMARIAM

Last Name

MOGES

Business Name

DANIEL HAILEMARIAM MOGES MD

Original Issue Date

08/06/2019

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

TAMUNING

State

Zip

96913

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023