License holder summary

Shilpa Ravi Mallur is a Medical Residency Permit licensed to practice in Indiana. The address on file for Shilpa Ravi Mallur is ZIONSVILLE IN 46077. This licensed professional license is not current. The license was granted 06/22/2006 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Shilpa Ravi Mallur
Medical Residency Permit
License number
11013460A
Date granted
06/22/2006
Date expires
06/30/2009
Class
Medical Residency Permit
Status
Superceded
Address
ZIONSVILLE IN 46077
indianalicensing.org
ID 6000223
LAST UPDATED 2024-02-15 13:31:24 UTC

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