SAI RUPA VANGALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

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

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023