License holder summary

HANISHA RAJLAKSHMI MANICKAVASAGAN is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for HANISHA RAJLAKSHMI MANICKAVASAGAN is Matawan NJ 07747. This medical practitioner license is current. The license was granted 05/13/2015 and expired on 06/30/2017.

Department of State

Board of Medicine

HANISHA RAJLAKSHMI MANICKAVASAGAN
Graduate Medical Trainee
License number
MT208935
Date granted
05/13/2015
Date expires
06/30/2017
Class
Graduate Medical Trainee
Status
Active
Address
Matawan NJ 07747
medicinepa.com
ID 37554057
LAST UPDATED 2026-04-09 07:07:06 UTC

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