License holder summary

Dr. MALATESHA GANGAPPA is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. MALATESHA GANGAPPA is 1215 12th Avenue Road Nampa ID 83686. This licensed professional license is current. The license was granted 08/03/2011 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

Dr. MALATESHA GANGAPPA
Board Of Medicine
License number
M-11395
Date granted
08/03/2011
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
1215 12th Avenue Road Nampa ID 83686
idaholicensing.com
ID 48337071
LAST UPDATED 2024-03-18 22:59:03 UTC

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