DEEPIKA BONGU - Medical Doctor License in North Carolina | # 036106132

DEEPIKA BONGU

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106132

License Status

INACTIVE

Business

N

First Name

DEEPIKA

Last Name

BONGU

Business Name

DEEPIKA BONGU

Original Issue Date

01/22/2002

Effective Date

08/24/2020

Expiration Date

07/31/2023

State

NC

Ever Disciplined

N

LastModifiedDate

05/15/2023