License holder summary

PENCHALA SWAMY MITTADODLA is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for PENCHALA SWAMY MITTADODLA is Bethlehem PA 18018. This medical practitioner license is not current. The license was granted 02/13/2009 and expired on 06/30/2012.

Department of State

Board of Medicine

PENCHALA SWAMY MITTADODLA
Graduate Medical Trainee
License number
MT194210
Date granted
02/13/2009
Date expires
06/30/2012
Class
Graduate Medical Trainee
Status
Inactive
Address
Bethlehem PA 18018
medicinepa.com
ID 37552677
LAST UPDATED 2024-01-09 21:48:08 UTC

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