License holder summary

PRAKASH SIDHA JAYABALAN is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for PRAKASH SIDHA JAYABALAN is Saint Louis MO 63105. This medical practitioner license is not current. The license was granted 06/23/2012 and expired on 06/30/2015.

Department of State

Board of Medicine

PRAKASH SIDHA JAYABALAN
Graduate Medical Trainee
License number
MT202849
Date granted
06/23/2012
Date expires
06/30/2015
Class
Graduate Medical Trainee
Status
Inactive
Address
Saint Louis MO 63105
medicinepa.com
ID 37540689
LAST UPDATED 2024-03-07 12:30:41 UTC

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