DIVAKAR BOMBRANA PAKKALA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056370

License Status

INACTIVE

Business

First Name

DIVAKAR BOMBRANA

Last Name

PAKKALA

Suffix

Business Name

DIVAKAR BOMBRANA PAKKALA MD

Original Issue Date

08/09/1984

Effective Date

08/09/1984

Expiration Date

07/31/1996

City

KENOSHA

State

Zip

53143

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006