Department of State
Board of Medicine
COLLEEN PRAVIN KHATIWALA
Graduate Medical Trainee
License number
MT184195
Date granted
05/14/2004
Date expires
06/22/2005
Class
Graduate Medical Trainee
Status
Expired
Address
Belleville NJ 07109
medicinepa.com
ID 37543412
LAST UPDATED 2024-04-13 01:26:36 UTC
LAST UPDATED 2024-04-13 01:26:36 UTC
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