VIJAY MIRMIRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120355

License Status

NOT RENEWED

Business

First Name

VIJAY

Last Name

MIRMIRA

Suffix

Business Name

VIJAY MIRMIRA MD

Original Issue Date

03/18/2008

Effective Date

06/27/2011

Expiration Date

07/31/2014

City

LODI

State

Zip

95242

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/17/2014