NOUPAMA MIRIHAGALLE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160072

License Status

ACTIVE

Business

Title

First Name

NOUPAMA

Last Name

MIRIHAGALLE

Business Name

NOUPAMA MIRIHAGALLE MD

Original Issue Date

04/02/2022

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2023