NISHA MANGALAT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135483

License Status

ACTIVE

Business

Title

First Name

NISHA

Last Name

MANGALAT

Business Name

NISHA MANGALAT MD

Original Issue Date

06/11/2014

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63124

County

MISSOURI

Ever Disciplined

LastModifiedDate

06/30/2023