BASAVA P ANCHA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085594

License Status

ACTIVE

Business

First Name

BASAVA

Middle

Last Name

ANCHA

Business Name

BASAVA P ANCHA

Original Issue Date

11/06/1992

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

06/22/2023