PRANAY BAHUGUNA - Medical Doctor License in Illinois | # 125034956

PRANAY BAHUGUNA

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034956

License Status

EXPIRED

Business

N

First Name

PRANAY

Last Name

BAHUGUNA

Business Name

PRANAY BAHUGUNA

Original Issue Date

06/12/1996

Effective Date

06/12/1996

Expiration Date

06/30/1999

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006