License holder summary

MIRA MAMTANI is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for MIRA MAMTANI is Philadelphia PA 19103. This medical practitioner license is not current. The license was granted 05/05/2009 and expired on 06/30/2013.

Department of State

Board of Medicine

MIRA MAMTANI
Graduate Medical Trainee
License number
MT195000
Date granted
05/05/2009
Date expires
06/30/2013
Class
Graduate Medical Trainee
Status
Inactive
Address
Philadelphia PA 19103
medicinepa.com
ID 37552759
LAST UPDATED 2024-02-28 13:43:41 UTC

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