YOGESH BAHADUR MALLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

First Name

YOGESH

Middle

BAHADUR

Last Name

MALLA

Suffix

Business Name

YOGESH BAHADUR MALLA MD

Original Issue Date

11/15/2004

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/29/2023