JAGADISH BALAPPA KHANAGAVI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134441

License Status

NOT RENEWED

Business

Title

First Name

JAGADISH

Middle

BALAPPA

Last Name

KHANAGAVI

Business Name

JAGADISH BALAPPA KHANAGAVI MD

Original Issue Date

01/16/2014

Effective Date

04/18/2017

Expiration Date

09/30/2020

City

GRAND RAPIDS

State

Zip

49546

Ever Disciplined

LastModifiedDate

01/14/2021