PRASHANT DATTATRAYA BHAVE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126467

License Status

NOT RENEWED

Business

Title

First Name

PRASHANT

Middle

DATTATRAYA

Last Name

BHAVE

Business Name

PRASHANT DATTATRAYA BHAVE MD

Original Issue Date

08/11/2010

Effective Date

04/30/2014

Expiration Date

07/31/2017

City

IOWA CITY

State

Zip

52242

County

IOWA

Ever Disciplined

LastModifiedDate

11/01/2017