CHARLES HADDON ELIJAH SADAPHAL 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

CHARLES HADDON

Middle

ELIJAH

Last Name

SADAPHAL

Business Name

CHARLES HADDON ELIJAH SADAPHAL MD

Original Issue Date

04/24/2024

Effective Date

04/24/2024

Expiration Date

07/31/2026

City

FRESH MEADOWS

State

Zip

11365

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026