License holder summary

DHIVYA RENGAN KANNABIRAN is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for DHIVYA RENGAN KANNABIRAN is Wayland MA 01778. This medical practitioner license is not current. The license was granted 05/13/2010 and expired on 06/30/2014.

Department of State

Board of Medicine

DHIVYA RENGAN KANNABIRAN
Graduate Medical Trainee
License number
MT197656
Date granted
05/13/2010
Date expires
06/30/2014
Class
Graduate Medical Trainee
Status
Expired
Address
Wayland MA 01778
medicinepa.com
ID 37544196
LAST UPDATED 2026-05-12 07:27:37 UTC

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