LALANA BABUGOWDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094165

License Status

NOT RENEWED

Business

First Name

LALANA

Last Name

BABUGOWDA

Suffix

Business Name

LALANA BABUGOWDA MD

Original Issue Date

09/06/1996

Effective Date

05/09/2011

Expiration Date

07/31/2014

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/17/2014