SHYAM K BHAT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112161

License Status

NOT RENEWED

Business

Title

First Name

SHYAM

Middle

Last Name

BHAT

Business Name

SHYAM K BHAT MD

Original Issue Date

08/19/2004

Effective Date

06/18/2008

Expiration Date

07/31/2011

City

APEX

State

Zip

27539

Ever Disciplined

LastModifiedDate

11/14/2011