License holder summary

PRASHANTH KONATHAM HARIBABU is a Dentistry - Dentist Clinical Academic Limited licensed to practice in Michigan. This medical licensee license is current. The license was granted 10/13/2015 and expired on 08/31/2016.

Department of Licensing and Regulatory Affairs

Board of Medicine

PRASHANTH KONATHAM HARIBABU
Dentistry - Dentist Clinical Academic Limited
License number
2901021748
Date granted
10/13/2015
Date expires
08/31/2016
Class
Dentistry - Dentist Clinical Academic Limited
Status
Active
Address
michiganmedical.net
ID 38908315
LAST UPDATED 2024-03-07 20:41:30 UTC

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