PRASHANT DATTATRAYA BHAVE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

Title

First Name

PRASHANT

Middle

DATTATRAYA

Last Name

BHAVE

Business Name

PRASHANT DATTATRAYA BHAVE MD

Original Issue Date

07/13/2011

Effective Date

06/18/2014

Expiration Date

07/31/2017

City

IOWA CITY

State

Zip

52242

County

IOWA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017