License holder summary

RENUKA VIJAY BASAVARAJU is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for RENUKA VIJAY BASAVARAJU is GREENVILLE, SC 296152512. This licensed professional license is not current. The license was granted 08/14/1996 and expired on 01/31/1998.

Utah

Division of Occupational and Professional Licensing

RENUKA VIJAY BASAVARAJU
Physician - Physician & Surgeon
License number
323187-1205
Date granted
08/14/1996
Date expires
01/31/1998
Class
Physician - Physician & Surgeon
Status
Expired
Address
GREENVILLE, SC 296152512
utahlicensing.org
ID 29932606
LAST UPDATED 2026-03-20 06:37:11 UTC

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