KISHEN B MENDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045286

License Status

NOT RENEWED

Business

First Name

KISHEN B

Last Name

MENDA

Suffix

Business Name

KISHEN B MENDA MD

Original Issue Date

02/04/1972

Effective Date

02/04/1972

Expiration Date

07/31/1987

City

BAYSIDE

State

Zip

95524

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006