MANISHA JAYANT OGALE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

First Name

MANISHA

Middle

JAYANT

Last Name

OGALE

Suffix

Business Name

MANISHA JAYANT OGALE MD

Original Issue Date

08/17/2004

Effective Date

06/12/2023

Expiration Date

07/31/2026

City

BOLINGBROOK

State

Zip

60490

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/12/2023