VIJAY MIRMIRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

VIJAY

Last Name

MIRMIRA

Suffix

Business Name

VIJAY MIRMIRA MD

Original Issue Date

05/21/2008

Effective Date

05/21/2008

Expiration Date

07/31/2011

City

DECATUR

State

Zip

62521

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011