Department of State
Board of Medicine
SHASHIKALA KONKAL VENKATACHALAPATHY
Graduate Medical Trainee
License number
MT179590
Date granted
09/11/2002
Date expires
10/15/2006
Class
Graduate Medical Trainee
Status
Expired
Address
Hasbrouck Heights NJ 07604
medicinepa.com
ID 37574685
LAST UPDATED 2024-05-16 06:39:00 UTC
LAST UPDATED 2024-05-16 06:39:00 UTC
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