BHANKASAME KICHANANTHA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072486

License Status

INACTIVE

Business

First Name

BHANKASAME

Last Name

KICHANANTHA

Suffix

Business Name

BHANKASAME KICHANANTHA MD

Original Issue Date

04/03/1986

Effective Date

04/03/1986

Expiration Date

07/31/1987

City

ENTERPRISE

State

Zip

36330

County

ALABAMA

Ever Disciplined

LastModifiedDate

09/20/2006