AMIT PHULL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

Title

First Name

AMIT

Last Name

PHULL

Business Name

AMIT PHULL MD

Original Issue Date

05/09/2013

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

HERNDON

State

Zip

20170

County

CALIFORNIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023