Arizona
Board of Licensing
Sreenivasa Basavanthappa MD
Medical Doctor
License number
43165
Date granted
06/29/2010
Class
Medical Doctor
Status
Expired
Address
Memorial Eye Institute, 4100 Linglestown Road, Harrisburg PA 17112
arizonalicensing.com
ID 22267176
LAST UPDATED 2026-07-08 21:10:24 UTC
LAST UPDATED 2026-07-08 21:10:24 UTC