MANISH I KOYAWALA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081806

License Status

INACTIVE

Business

First Name

MANISH I

Last Name

KOYAWALA

Suffix

Business Name

MANISH I KOYAWALA MD

Original Issue Date

11/15/1990

Effective Date

11/15/1990

Expiration Date

07/31/1996

City

VIENNA

State

Zip

26105

County

WEST VIRGINIA

Ever Disciplined

LastModifiedDate

09/20/2006