License holder summary

EZRA DAVID MIRVISH is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for EZRA DAVID MIRVISH is Pittsburgh PA 15217. This medical practitioner license is current. The license was granted 04/16/2012 and expired on 06/30/2016.

Department of State

Board of Medicine

EZRA DAVID MIRVISH
Graduate Medical Trainee
License number
MT201091
Date granted
04/16/2012
Date expires
06/30/2016
Class
Graduate Medical Trainee
Status
Active
Address
Pittsburgh PA 15217
medicinepa.com
ID 37553205
LAST UPDATED 2024-01-12 10:26:23 UTC

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