ANIRUDDH PRAKASH BEHERE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127812

License Status

NOT RENEWED

Business

Title

First Name

ANIRUDDH

Middle

PRAKASH

Last Name

BEHERE

Business Name

ANIRUDDH PRAKASH BEHERE MD

Original Issue Date

05/09/2011

Effective Date

05/09/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/17/2014