HARITHA BELLAM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126660

License Status

NOT RENEWED

Business

First Name

HARITHA

Last Name

BELLAM

Business Name

HARITHA BELLAM

Original Issue Date

09/16/2010

Effective Date

09/16/2010

Expiration Date

07/31/2011

City

MUNCIE

State

Zip

47304

County

INDIANA

Ever Disciplined

LastModifiedDate

11/14/2011