WORLALI MOSES NUTAKOR 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

WORLALI

Middle

MOSES

Last Name

NUTAKOR

Suffix

Business Name

WORLALI MOSES NUTAKOR MD

Original Issue Date

05/23/2002

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

FORSYTH

State

Zip

62535

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023