PRASANTA L BHAMIDIPATI - Medical Doctor License in Illinois | # 036126754

PRASANTA L BHAMIDIPATI

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126754

License Status

ACTIVE

Business

N

First Name

PRASANTA

Middle

L

Last Name

BHAMIDIPATI

Business Name

PRASANTA L BHAMIDIPATI

Original Issue Date

10/08/2010

Effective Date

07/25/2023

Expiration Date

07/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

07/25/2023