NIVA SHAKYA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129741

License Status

NOT RENEWED

Business

Title

First Name

NIVA

Last Name

SHAKYA

Business Name

NIVA SHAKYA MD

Original Issue Date

03/07/2012

Effective Date

03/07/2012

Expiration Date

07/31/2014

City

MUSKEGO

State

Zip

53150

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/17/2014