SHINY MANDLA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165834

License Status

ACTIVE

Business

Title

First Name

SHINY

Last Name

MANDLA

Business Name

SHINY MANDLA DO

Original Issue Date

07/10/2023

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

FONTANA

State

Zip

92337

Ever Disciplined

LastModifiedDate

03/03/2023