MOHAN KUMAR BANGALORE PUTTAIAH
Idaho M-8828 Canceled
This Idaho license was held by MOHAN KUMAR BANGALORE PUTTAIAH. The license is no longer active. It was granted on 07/11/2003 and expired on 08/01/2008
LICENSE DETAILS
- License Number: M-8828
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 07/11/2003 (almost 22 years ago)
- Expiry Date: 08/01/2008 (almost 17 years ago)
LOCATIONS
A Residential
DESERT SAGE HEALTH CENTER Mountain Home ID 83647