SHINOJ PATTALI JAYAVALSAN MD - Medical Doctor License in Wisconsin | # 036132154

SHINOJ PATTALI JAYAVALSAN MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132154

License Status

INACTIVE

Business

N

Title

MD

First Name

SHINOJ

Last Name

PATTALI JAYAVALSAN

Business Name

SHINOJ PATTALI JAYAVALSAN MD

Original Issue Date

03/28/2013

Effective Date

03/28/2013

Expiration Date

07/31/2014

State

WI

Ever Disciplined

N

LastModifiedDate

04/08/2014