INDIRA DEVI CHALLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

Title

First Name

INDIRA

Middle

DEVI

Last Name

CHALLA

Business Name

INDIRA DEVI CHALLA MD

Original Issue Date

12/10/2022

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

CARTHAGE

State

Zip

62321

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023