SHIVA PRASAD DARAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

Title

First Name

SHIVA

Middle

PRASAD

Last Name

DARAM

Business Name

SHIVA PRASAD DARAM MD

Original Issue Date

02/21/2018

Effective Date

02/21/2018

Expiration Date

09/30/2020

City

DALLAS

State

Zip

75204

County

TEXAS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021