ARCHANA BASAVANAKOTE SIDDALINGAPPA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151280

License Status

NOT RENEWED

Business

Title

First Name

ARCHANA

Middle

BASAVANAKOTE

Last Name

SIDDALINGAPPA

Business Name

ARCHANA BASAVANAKOTE SIDDALINGAPPA MD

Original Issue Date

11/27/2019

Effective Date

08/10/2020

Expiration Date

07/31/2023

City

BEAVERCREEK

State

Zip

45434

Ever Disciplined

LastModifiedDate

11/30/2023