License Directory

Sreenivasa Basavanthappa

Active

California license A122126

License

Licensed by
Medical Board of California
License number
A122126
Status
Active (Current)
First issued
July 20, 2012
Expires
May 31, 2028
License holder
Sreenivasa Basavanthappa
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

1 Huff Way
Bloomington, IL 61705-6453