BALU B SHETTY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069797

License Status

INACTIVE

Business

First Name

BALU B

Last Name

SHETTY

Suffix

Business Name

BALU B SHETTY MD

Original Issue Date

11/07/1984

Effective Date

11/07/1984

Expiration Date

07/31/1987

City

GAITHERSBURG

State

Zip

20878

County

MARYLAND

Ever Disciplined

LastModifiedDate

09/20/2006