Idaho
Division of Occupational and Professional Licenses
Dr. PRASHANTH Sirigere MANJUNATH
Board Of Medicine
License number
M-11963
Date granted
03/27/2013
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
Idaho Pain Group Blackfoot ID 83221
idaholicensing.com
ID 48338294
LAST UPDATED 2024-03-12 08:21:22 UTC
LAST UPDATED 2024-03-12 08:21:22 UTC
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