Idaho
Division of Occupational and Professional Licenses
ANISHA PATEL SRINIVASAN
Board Of Medicine
License number
MRM-1591
Date granted
06/20/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
5847 NE 75ST UNIT 105 SEATTLE WA 98115
idaholicensing.com
ID 48355442
LAST UPDATED 2024-02-03 16:26:21 UTC
LAST UPDATED 2024-02-03 16:26:21 UTC
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