Dr. PRASHANTH Sirigere MANJUNATH
Idaho TLM-3931 Upgraded
This Idaho license was held by Dr. PRASHANTH Sirigere MANJUNATH. The license is no longer active. It was granted on 03/15/2013 and expired on 06/07/2013
LICENSE DETAILS
- License Number: TLM-3931
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 03/15/2013 (over 12 years ago)
- Expiry Date: 06/07/2013 (about 12 years ago)
LOCATIONS
A Residential
Idaho Pain Group Blackfoot ID 83221