SAI RUPA VANGALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136213

License Status

ACTIVE

Business

Title

First Name

SAI

Middle

RUPA

Last Name

VANGALA

Business Name

SAI RUPA VANGALA MD

Original Issue Date

08/11/2014

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/13/2023