BALA BHAGAVATH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155347

License Status

ACTIVE

Business

Title

First Name

BALA

Last Name

BHAGAVATH

Business Name

BALA BHAGAVATH MD

Original Issue Date

01/20/2021

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

MADISON

State

Zip

53719

Ever Disciplined

LastModifiedDate

07/29/2023