HARATHI BHOOMA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081010

License Status

CANCELLED

Business

Title

First Name

HARATHI

Last Name

BHOOMA

Business Name

HARATHI BHOOMA MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

02/04/2025