License holder summary

MANJUSHREE GAUTAM is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for MANJUSHREE GAUTAM is NO CITY PA 00000. This medical practitioner license is not current. The license was granted 07/01/2001 and expired on 06/30/2004.

Department of State

Board of Medicine

MANJUSHREE GAUTAM
Graduate Medical Trainee
License number
MT048643T
Date granted
07/01/2001
Date expires
06/30/2004
Class
Graduate Medical Trainee
Status
Inactive
Address
NO CITY PA 00000
medicinepa.com
ID 37533952
LAST UPDATED 2026-04-13 12:48:35 UTC

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