MOHAN KUMAR BANGALORE PUTTAIAH
Idaho SPHY-8828 Canceled
This Idaho license was held by MOHAN KUMAR BANGALORE PUTTAIAH. The license is no longer active. It was granted on 03/14/2006 and expired on 12/31/2007
LICENSE DETAILS
- License Number: SPHY-8828
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 03/14/2006 (over 19 years ago)
- Expiry Date: 12/31/2007 (over 17 years ago)
LOCATIONS
A Residential
DESERT SAGE HEALTH CENTER Mountain Home ID 83647