Department of State
Board of Medicine
DIVYA GANESHMURTHY MOODALBAIL
Graduate Medical Trainee
License number
MT196422
Date granted
03/04/2010
Date expires
06/30/2013
Class
Graduate Medical Trainee
Status
Inactive
Address
Detroit MI 48201
medicinepa.com
ID 37552851
LAST UPDATED 2024-03-15 08:53:27 UTC
LAST UPDATED 2024-03-15 08:53:27 UTC
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