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Licensing details for: A 206865

Name: Dasari, Prathyusha

License Type: Physician and Surgeon A

Primary Status: License Renewed & Current Primary Status Definition

School Name: University of California, Riverside School of Medicine

Graduation Year: 2024

Address of Record

802 Via Ponte De Oro
RIVERSIDE CA 92507-6468
RIVERSIDE county
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Issuance Date

January 15, 2026

Expiration Date

March 31, 2028

Current Date / Time

April 4, 2026
11:36:02 PM

Public Record Actions

Public Documents

License Relationships

Postgraduate Training License associated with Physician & Surgeon License

License/Registration Role: Physician & Surgeon

Related Party Role: Postgraduate Training License

Name: Dasari, Prathyusha

License/Registration Type: Postgraduate Training License

License Number: 16756 Primary Status: License Canceled

Address :
802 Via Ponte De Oro
RIVERSIDE CA 92507-6468
RIVERSIDE COUNTY

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Survey Information

The following information is self-reported by the licensee and has not been verified by the Board.

No AB 133 Survey Information Provided by Licensee

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