SUDHA MOGALI PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

Title

First Name

SUDHA

Middle

MOGALI

Last Name

PATEL

Business Name

SUDHA MOGALI PATEL MD

Original Issue Date

10/21/2019

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

SALEM

State

Zip

62881

County

MARION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2023