ARCHANA GUPTA WAGLE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

First Name

ARCHANA

Middle

GUPTA

Last Name

WAGLE

Suffix

Business Name

ARCHANA GUPTA WAGLE MD

Original Issue Date

08/16/1999

Effective Date

06/04/2023

Expiration Date

07/31/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2023