DAVID R BHASKAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081437

License Status

NOT RENEWED

Business

First Name

DAVID R

Last Name

BHASKAR

Suffix

Business Name

DAVID R BHASKAR MD

Original Issue Date

09/05/1990

Effective Date

05/21/2014

Expiration Date

07/31/2017

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/01/2017