License holder summary

SHANTI MIKKILINENI is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for SHANTI MIKKILINENI is Basking Ridge NJ 07920. This medical practitioner license is not current. The license was granted 06/16/2009 and expired on 06/30/2012.

Department of State

Board of Medicine

SHANTI MIKKILINENI
Graduate Medical Trainee
License number
MT196004
Date granted
06/16/2009
Date expires
06/30/2012
Class
Graduate Medical Trainee
Status
Inactive
Address
Basking Ridge NJ 07920
medicinepa.com
ID 37552709
LAST UPDATED 2026-03-18 19:16:54 UTC

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