KIRIVAT JIYAMAPA MD - Medical Doctor License in Indiana | # 036051155

KIRIVAT JIYAMAPA MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051155

License Status

INACTIVE

Business

N

First Name

KIRIVAT

Last Name

JIYAMAPA

Suffix

MD

Business Name

KIRIVAT JIYAMAPA MD

Original Issue Date

07/10/1975

Effective Date

07/10/1975

Expiration Date

07/31/1987

State

IN

Ever Disciplined

N

LastModifiedDate

09/20/2006