License holder summary

Sreenivasa Basavanthappa is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Sreenivasa Basavanthappa is 479 OLD UNION TURNPIKE,, Lancaster 01523. This licensed professional license is current. The license was granted 04/04/2012 and expired on 05/02/2017.

Massachusetts

Division of Professional Licensure

Sreenivasa Basavanthappa
Board Of Registration In Medicine
License number
250444
Date granted
04/04/2012
Date expires
05/02/2017
Class
Board Of Registration In Medicine
Status
Active
Address
479 OLD UNION TURNPIKE,
licensingma.org
ID 41411541
LAST UPDATED 2026-04-11 10:07:09 UTC

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