NIKHIL SUDHAKER WAGLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

NIKHIL

Middle

SUDHAKER

Last Name

WAGLE

Suffix

Business Name

NIKHIL SUDHAKER WAGLE MD

Original Issue Date

06/17/1999

Effective Date

05/10/2017

Expiration Date

09/30/2020

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021