HARITHA BELLAM - Medical Doctor License in Indiana | # 036126660

HARITHA BELLAM

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126660

License Status

NOT RENEWED

Business

N

First Name

HARITHA

Last Name

BELLAM

Business Name

HARITHA BELLAM

Original Issue Date

09/16/2010

Effective Date

09/16/2010

Expiration Date

07/31/2011

State

IN

Ever Disciplined

N

LastModifiedDate

11/14/2011