License holder summary

VIKRAM C GORANTLA is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for VIKRAM C GORANTLA is Saint Louis MO 63108. This medical practitioner license is not current. The license was granted 06/07/2011 and expired on 07/26/2014.

Department of State

Board of Medicine

VIKRAM C GORANTLA
Graduate Medical Trainee
License number
MT200290
Date granted
06/07/2011
Date expires
07/26/2014
Class
Graduate Medical Trainee
Status
Inactive
Address
Saint Louis MO 63108
medicinepa.com
ID 37535102
LAST UPDATED 2024-04-06 22:38:43 UTC

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