License holder summary

MAMATHA CHIVUKULA is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for MAMATHA CHIVUKULA is Milwaukee WI 53225. This medical practitioner license is not current. The license was granted 06/17/2004 and expired on 06/30/2005.

Department of State

Board of Medicine

MAMATHA CHIVUKULA
Graduate Medical Trainee
License number
MT184933
Date granted
06/17/2004
Date expires
06/30/2005
Class
Graduate Medical Trainee
Status
Expired
Address
Milwaukee WI 53225
medicinepa.com
ID 37524719
LAST UPDATED 2024-04-16 04:17:10 UTC

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