SUNIL GANGWANI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

First Name

SUNIL

Last Name

GANGWANI

Suffix

Business Name

SUNIL GANGWANI MD

Original Issue Date

11/30/2010

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63146

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023