KIRIVAT JIYAMAPA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051155

License Status

INACTIVE

Business

First Name

KIRIVAT

Last Name

JIYAMAPA

Suffix

Business Name

KIRIVAT JIYAMAPA MD

Original Issue Date

07/10/1975

Effective Date

07/10/1975

Expiration Date

07/31/1987

City

PLYMOUTH

State

Zip

46563

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006