License holder summary

PRABHAKARA BASAVARAJU is a Medical Doctor (Md) - Medical Doctor Clinical Academic licensed to practice in Michigan. The address on file for PRABHAKARA BASAVARAJU is Ann Arbor, MI 48109. This licensed professional license is not current. The license was granted 03/17/2006 and expired on 01/31/2008.

Michigan

Department of Licensing and Regulation

PRABHAKARA BASAVARAJU
Medical Doctor (Md) - Medical Doctor Clinical Academic
License number
4301087319
Date granted
03/17/2006
Date expires
01/31/2008
Class
Medical Doctor (Md) - Medical Doctor Clinical Academic
Status
Lapsed
Address
Ann Arbor, MI 48109
michiganlicensing.org
ID 25785307
LAST UPDATED 2024-03-26 09:43:38 UTC

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