License holder summary

PERIAKARUPPAN MANICKAM is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for PERIAKARUPPAN MANICKAM is Cincinnati OH 45220. This medical practitioner license is current. The license was granted 04/16/2015 and expired on 06/30/2016.

Department of State

Board of Medicine

PERIAKARUPPAN MANICKAM
Graduate Medical Trainee
License number
MT208078
Date granted
04/16/2015
Date expires
06/30/2016
Class
Graduate Medical Trainee
Status
Active
Address
Cincinnati OH 45220
medicinepa.com
ID 37554005
LAST UPDATED 2024-05-10 09:02:13 UTC

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