Sreenivasa Basavanthappa
ActiveCalifornia 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
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
1 Huff Way
Bloomington, IL 61705-6453
Bloomington, IL 61705-6453