PRASHANTH G GOWDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113148

License Status

NOT RENEWED

Business

First Name

PRASHANTH

Middle

Last Name

GOWDA

Suffix

Business Name

PRASHANTH G GOWDA MD

Original Issue Date

02/24/2005

Effective Date

04/07/2011

Expiration Date

07/31/2014

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/17/2014