MALLAIAH SHIVA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067716

License Status

INACTIVE

Business

First Name

MALLAIAH

Last Name

SHIVA

Suffix

Business Name

MALLAIAH SHIVA MD

Original Issue Date

09/30/1983

Effective Date

09/30/1983

Expiration Date

07/31/1999

City

SAN ANTONIO

State

Zip

78247

County

TEXAS

Ever Disciplined

LastModifiedDate

09/20/2006