License holder summary

MAMATHA SIRIVOL is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for MAMATHA SIRIVOL is Johnson City TN 37604. This medical practitioner license is not current. The license was granted 04/30/2009 and expired on 06/30/2012.

Department of State

Board of Medicine

MAMATHA SIRIVOL
Graduate Medical Trainee
License number
MT194875
Date granted
04/30/2009
Date expires
06/30/2012
Class
Graduate Medical Trainee
Status
Inactive
Address
Johnson City TN 37604
medicinepa.com
ID 37569903
LAST UPDATED 2024-03-15 05:10:40 UTC

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