MALLAIAH SHIVA MD - Medical Doctor License in Texas | # 036067716

MALLAIAH SHIVA MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067716

License Status

INACTIVE

Business

N

First Name

MALLAIAH

Last Name

SHIVA

Suffix

MD

Business Name

MALLAIAH SHIVA MD

Original Issue Date

09/30/1983

Effective Date

09/30/1983

Expiration Date

07/31/1999

State

TX

Ever Disciplined

N

LastModifiedDate

09/20/2006