PRABHAKARA SHETTY HEGGUNJE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112970

License Status

NOT RENEWED

Business

First Name

PRABHAKARA

Middle

SHETTY

Last Name

HEGGUNJE

Suffix

Business Name

PRABHAKARA SHETTY HEGGUNJE MD

Original Issue Date

01/25/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

NEWBURGH

State

Zip

47630

County

INDIANA

Ever Disciplined

LastModifiedDate

07/29/2021