MAANASA BANDLA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

Title

First Name

MAANASA

Last Name

BANDLA

Business Name

MAANASA BANDLA DO

Original Issue Date

08/29/2024

Effective Date

08/29/2024

Expiration Date

07/31/2026

City

PORTSMOUTH

State

Zip

03802

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/29/2024