Department of State
Board of Medicine
SREENIVASA BASAVANTHAPPA
Medical Physician And Surgeon
License number
MD445030
Date granted
02/13/2012
Date expires
12/31/2014
Class
Medical Physician And Surgeon
Status
Expired
Address
Harrisburg PA 17112
medicinepa.com
ID 37592092
LAST UPDATED 2024-06-03 23:04:28 UTC
LAST UPDATED 2024-06-03 23:04:28 UTC
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