License holder summary

BASAVANAGOUDA HIREGOUDAR is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for BASAVANAGOUDA HIREGOUDAR is CHEYENNE WY 82009. This medical practitioner license is not current. The license was granted 01/23/2014 and expired on 12/31/2014.

Department of State

Board of Medicine

BASAVANAGOUDA HIREGOUDAR
Medical Physician And Surgeon
License number
MD450861
Date granted
01/23/2014
Date expires
12/31/2014
Class
Medical Physician And Surgeon
Status
Expired
Address
CHEYENNE WY 82009
medicinepa.com
ID 37624031
LAST UPDATED 2024-04-29 02:44:32 UTC

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