BHAGYA GOPAL BOGGARAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

Title

First Name

BHAGYA

Middle

GOPAL

Last Name

BOGGARAM

Business Name

BHAGYA GOPAL BOGGARAM MD

Original Issue Date

11/16/2023

Effective Date

11/16/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/16/2023