NIVA SHAKYA MD - Medical Doctor License in Wisconsin | # 036129741

NIVA SHAKYA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129741

License Status

NOT RENEWED

Business

N

Title

MD

First Name

NIVA

Last Name

SHAKYA

Business Name

NIVA SHAKYA MD

Original Issue Date

03/07/2012

Effective Date

03/07/2012

Expiration Date

07/31/2014

State

WI

Ever Disciplined

N

LastModifiedDate

11/17/2014