RAM MOHAN R BONGU MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096116

License Status

INACTIVE

Business

First Name

RAM MOHAN R

Last Name

BONGU

Suffix

Business Name

RAM MOHAN R BONGU MD

Original Issue Date

07/21/1997

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

FAYETTEVILLE

State

Zip

28314

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

04/05/2020