PRABHAKARA SHETTY HEGGUNJE MD - Medical Doctor License in Indiana | # 036112970

PRABHAKARA SHETTY HEGGUNJE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112970

License Status

NOT RENEWED

Business

N

First Name

PRABHAKARA

Middle

SHETTY

Last Name

HEGGUNJE

Suffix

MD

Business Name

PRABHAKARA SHETTY HEGGUNJE MD

Original Issue Date

01/25/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

IN

Ever Disciplined

N

LastModifiedDate

07/29/2021