MANDYA VISHWANATH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066479

License Status

INACTIVE

Business

First Name

MANDYA

Last Name

VISHWANATH

Suffix

Business Name

MANDYA VISHWANATH MD

Original Issue Date

05/04/1983

Effective Date

05/04/1983

Expiration Date

07/31/1990

City

SPOKANE

State

Zip

99203

County

WASHINGTON

Ever Disciplined

LastModifiedDate

09/20/2006