The holder whose full name is BONTU, PRAKASH,come from DAVENPORT IA,hold the Physician license(NO.01033185A) which status is Expired Non-Renewable.
| Name | BONTU, PRAKASH |
|---|---|
| License Number | 01033185A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | DAVENPORT |
| State | IA |