HARI KRISHNA PUTTAGUNTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132667

License Status

NOT RENEWED

Business

Title

First Name

HARI

Middle

KRISHNA

Last Name

PUTTAGUNTA

Business Name

HARI KRISHNA PUTTAGUNTA MD

Original Issue Date

04/26/2013

Effective Date

05/15/2020

Expiration Date

07/31/2023

City

CHAMPAIGN

State

Zip

61822

County

INDIANA

Ever Disciplined

LastModifiedDate

11/30/2023