BRENDA ASHWINI MANOHARAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142886

License Status

NOT RENEWED

Business

Title

First Name

BRENDA

Middle

ASHWINI

Last Name

MANOHARAN

Business Name

BRENDA ASHWINI MANOHARAN MD

Original Issue Date

04/05/2017

Effective Date

04/05/2017

Expiration Date

09/30/2020

City

PHILADELPHIA

State

Zip

19131

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

01/14/2021