SHILPA P BAHETHI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108935

License Status

NOT RENEWED

Business

First Name

SHILPA

Middle

Last Name

BAHETHI

Business Name

SHILPA P BAHETHI

Original Issue Date

04/02/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

LANSDOWNE

State

Zip

20176

Ever Disciplined

LastModifiedDate

02/07/2013