BHAVNA R LALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138450

License Status

NOT RENEWED

Business

Title

First Name

BHAVNA

Middle

Last Name

LALL

Business Name

BHAVNA R LALL MD

Original Issue Date

06/25/2015

Effective Date

01/29/2020

Expiration Date

09/30/2020

City

MADISON

State

Zip

35758

Ever Disciplined

LastModifiedDate

01/14/2021