License holder summary

ANNILYN S PURAYIDOM is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for ANNILYN S PURAYIDOM is Harrisburg PA 17112. This medical practitioner license is not current. The license was granted 04/21/2006 and expired on 06/30/2011.

Department of State

Board of Medicine

ANNILYN S PURAYIDOM
Graduate Medical Trainee
License number
MT188163
Date granted
04/21/2006
Date expires
06/30/2011
Class
Graduate Medical Trainee
Status
Inactive
Address
Harrisburg PA 17112
medicinepa.com
ID 37559332
LAST UPDATED 2024-05-01 18:05:53 UTC

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