License Directory

Kirivat Jiyamapa Md

Inactive

Illinois license 036051155

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036051155
Status
Inactive
First issued
July 10, 1975
Expired
July 31, 1987
License holder
Kirivat Jiyamapa Md
Entity type
Individual

Classifications

More from the license record

Current term began
07/10/1975

Contact

Plymouth, IN 46563
Indiana County