PRATHAP BANDIPALLIAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150046

License Status

NOT RENEWED

Business

Title

First Name

PRATHAP

Last Name

BANDIPALLIAM

Business Name

PRATHAP BANDIPALLIAM MD

Original Issue Date

07/01/2019

Effective Date

09/14/2020

Expiration Date

07/31/2023

City

BANGALORE 560070

State

Zip

60612

Ever Disciplined

LastModifiedDate

11/30/2023