DEEPAK SHIVARAM Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094061

License Status

INACTIVE

Business

First Name

DEEPAK

Last Name

SHIVARAM

Business Name

DEEPAK SHIVARAM

Original Issue Date

08/20/1996

Effective Date

08/20/1996

Expiration Date

07/31/1999

City

VICTORVILLE

State

Zip

92392

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006