License holder summary

SHIVANI SRIVASTAVA is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for SHIVANI SRIVASTAVA is Syracuse NY 13205. This medical practitioner license is not current. The license was granted 08/27/2003 and expired on 08/26/2004.

Department of State

Board of Medicine

SHIVANI SRIVASTAVA
Graduate Medical Trainee
License number
MT183010
Date granted
08/27/2003
Date expires
08/26/2004
Class
Graduate Medical Trainee
Status
Expired
Address
Syracuse NY 13205
medicinepa.com
ID 37568799
LAST UPDATED 2026-04-22 08:48:16 UTC

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