License holder summary

Shivaram, Mysore S is a Medicine And Surgery licensed to practice in Wisconsin. This doctor license is current. The license was granted 04/27/1979 and expired on 10/31/2015.

Wisconsin

Department of Safety and Professional Services

Shivaram, Mysore S
Medicine And Surgery
License number
22232-20
Date granted
04/27/1979
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 12769320
LAST UPDATED 2024-02-25 21:00:29 UTC

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