License holder summary

PRABHAKARA BASAVARAJU is a Medicine - Medical Doctor Clinical Academic licensed to practice in Michigan. This medical licensee license is not current. The license was granted 03/17/2006 and expired on 01/31/2008.

Department of Licensing and Regulatory Affairs

Board of Medicine

PRABHAKARA BASAVARAJU
Medicine - Medical Doctor Clinical Academic
License number
4301087319
Date granted
03/17/2006
Date expires
01/31/2008
Class
Medicine - Medical Doctor Clinical Academic
Status
Lapsed
Address
michiganmedical.net
ID 38955182
LAST UPDATED 2024-02-20 01:10:24 UTC

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