HARATHI BHOOMA MD - Medical Doctor License in Illinois | # 125081010

HARATHI BHOOMA MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081010

License Status

CANCELLED

Business

N

Title

MD

First Name

HARATHI

Last Name

BHOOMA

Business Name

HARATHI BHOOMA MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

02/04/2025