License holder summary

PURUSHOTHAMA MAVANUR IYENGAR is a Graduate Medical Trainee licensed to practice in Pennsylvania. This medical practitioner license is not current. The license was granted 07/01/1990 and expired on 06/30/1991.

Department of State

Board of Medicine

PURUSHOTHAMA MAVANUR IYENGAR
Graduate Medical Trainee
License number
MT019242T
Date granted
07/01/1990
Date expires
06/30/1991
Class
Graduate Medical Trainee
Status
Inactive
medicinepa.com
ID 37538990
LAST UPDATED 2026-07-16 15:26:51 UTC

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