RUPA BONTU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065762

License Status

NOT RENEWED

Business

First Name

RUPA

Last Name

BONTU

Suffix

Business Name

RUPA BONTU MD

Original Issue Date

12/07/1982

Effective Date

06/08/2020

Expiration Date

07/31/2023

City

DAVENPORT

State

Zip

52807

Ever Disciplined

LastModifiedDate

11/30/2023