SUGAT WAGLE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001250

License Status

EXPIRED

Business

Title

First Name

SUGAT

Last Name

WAGLE

Business Name

SUGAT WAGLE MD

Original Issue Date

08/08/2018

Effective Date

08/08/2018

Expiration Date

08/31/2018

City

FISHERS

State

Zip

46037

Specialty/Qualifier

Cardiovascular Disease

Ever Disciplined

LastModifiedDate

12/04/2018