MANGALA P KUMAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

First Name

MANGALA

Middle

Last Name

KUMAR

Suffix

Business Name

MANGALA P KUMAR MD

Original Issue Date

03/23/2022

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

SALEM

State

Zip

24153

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023