FREDRICK MACHI OGUGUA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

Title

First Name

FREDRICK

Middle

MACHI

Last Name

OGUGUA

Business Name

FREDRICK MACHI OGUGUA MD

Original Issue Date

02/09/2022

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

SAINT PAUL

State

Zip

55114

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/29/2023