License holder summary

MALLIKARJUNA BAGEWADI ELLUR is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for MALLIKARJUNA BAGEWADI ELLUR is Elkins Park PA 19027. This medical practitioner license is current. The license was granted 05/21/2013 and expired on 06/30/2017.

Department of State

Board of Medicine

MALLIKARJUNA BAGEWADI ELLUR
Graduate Medical Trainee
License number
MT204453
Date granted
05/21/2013
Date expires
06/30/2017
Class
Graduate Medical Trainee
Status
Active
Address
Elkins Park PA 19027
medicinepa.com
ID 37521610
LAST UPDATED 2024-04-19 10:59:26 UTC

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