License holder summary

KISHORE VENKATASIVA GADDIPATI is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for KISHORE VENKATASIVA GADDIPATI is Roanoke VA 24018. This medical practitioner license is not current. The license was granted 11/05/2002 and expired on 06/30/2007.

Department of State

Board of Medicine

KISHORE VENKATASIVA GADDIPATI
Graduate Medical Trainee
License number
MT181018
Date granted
11/05/2002
Date expires
06/30/2007
Class
Graduate Medical Trainee
Status
Inactive
Address
Roanoke VA 24018
medicinepa.com
ID 37534136
LAST UPDATED 2024-04-11 17:52:03 UTC

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