NOUPAMA MIRIHAGALLE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073857

License Status

CANCELLED

Business

Title

First Name

NOUPAMA

Last Name

MIRIHAGALLE

Business Name

NOUPAMA MIRIHAGALLE MD

Original Issue Date

06/26/2019

Effective Date

06/26/2019

Expiration Date

06/25/2022

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

02/09/2022