License holder summary

ANISHA PATEL SRINIVASAN is a Board Of Medicine licensed to practice in Idaho. The address on file for ANISHA PATEL SRINIVASAN is 5847 NE 75ST UNIT 105 SEATTLE WA 98115. This licensed professional license is current. The license was granted 06/20/2016 and expired on 06/30/2017.

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

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