PRAKASH REDDY BONTU MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059649

License Status

INACTIVE

Business

First Name

PRAKASH REDDY

Last Name

BONTU

Suffix

Business Name

PRAKASH REDDY BONTU MD

Original Issue Date

10/26/1979

Effective Date

07/24/2014

Expiration Date

07/31/2017

City

DAVENPORT

State

Zip

52807

County

IOWA

Ever Disciplined

LastModifiedDate

04/11/2017