PHILIP BUDIHARDJO DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****12

NOT RENEWED

N

PHILIP

BUDIHARDJO

DO

PHILIP BUDIHARDJO DO

06/14/2010

06/14/2010

07/31/2011

IOWA CITY

IA

52246

IOWA

PRACTITIONER

II III IV V

N

04/05/2020