License holder summary

KALYANCHAKRAVARTHI MALLELA is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for KALYANCHAKRAVARTHI MALLELA is Baltimore MD 21236. This medical practitioner license is not current. The license was granted 01/03/2012 and expired on 12/13/2015.

Department of State

Board of Medicine

KALYANCHAKRAVARTHI MALLELA
Graduate Medical Trainee
License number
MT200775
Date granted
01/03/2012
Date expires
12/13/2015
Class
Graduate Medical Trainee
Status
Expired
Address
Baltimore MD 21236
medicinepa.com
ID 37553167
LAST UPDATED 2024-03-30 23:09:06 UTC

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