Department of State
Board of Medicine
MAMTHA BALLA
Graduate Medical Trainee
License number
MT200811
Date granted
01/25/2012
Date expires
06/30/2015
Class
Graduate Medical Trainee
Status
Expired
Address
Willow Grove PA 19090
medicinepa.com
ID 37521454
LAST UPDATED 2024-03-27 23:09:14 UTC
LAST UPDATED 2024-03-27 23:09:14 UTC
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