License holder summary

SUPARNA P BONTHALA is a Medicine - Medicine And Surgery licensed to practice in District of Columbia. The address on file for SUPARNA P BONTHALA is 3800 RESEVOIR ROAD NW, WASHINGTON DC 20007-2197. This licensed professional license is not current. The license was granted 03/03/1999 and expired on 12/31/2000.

District of Columbia

Department of Consumer and Regulatory Affairs

SUPARNA P BONTHALA
Medicine - Medicine And Surgery
License number
MD31456
Date granted
03/03/1999
Date expires
12/31/2000
Class
Medicine - Medicine And Surgery
Status
Expired
Address
3800 RESEVOIR ROAD NW, WASHINGTON DC 20007-2197
dclicensing.com
ID 20174092
LAST UPDATED 2026-05-17 13:50:36 UTC

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