License holder summary

MOHAN KUMAR BANGALORE PUTTAIAH is a Board Of Medicine licensed to practice in Idaho. The address on file for MOHAN KUMAR BANGALORE PUTTAIAH is DESERT SAGE HEALTH CENTER Mountain Home ID 83647. This licensed professional license is not current. The license was granted 07/11/2003 and expired on 08/01/2008.

Idaho

Division of Occupational and Professional Licenses

MOHAN KUMAR BANGALORE PUTTAIAH
Board Of Medicine
License number
M-8828
Date granted
07/11/2003
Date expires
08/01/2008
Class
Board Of Medicine
Status
Canceled
Address
DESERT SAGE HEALTH CENTER Mountain Home ID 83647
idaholicensing.com
ID 48334575
LAST UPDATED 2024-01-27 22:04:21 UTC

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