License holder summary

Dr. DIANE ANDAYA MADDELA is a Medical Board - 58.Do Training Certificate licensed to practice in Ohio. The address on file for Dr. DIANE ANDAYA MADDELA is Grandview Medical Center, Medical Education Department, 405 Grand Avenue, Dayton, OH 45405. This licensed professional license is not current. The license was granted 09/10/2002 and expired on 06/30/2006.

Ohio

Board of Licensing

Dr. DIANE ANDAYA MADDELA
Medical Board - 58.Do Training Certificate
License number
58.000986
Date granted
09/10/2002
Date expires
06/30/2006
Class
Medical Board - 58.Do Training Certificate
Status
Inactive
Address
Grandview Medical Center, Medical Education Department, 405 Grand Avenue, Dayton, OH 45405
ohiolicensing.org
ID 28428468
LAST UPDATED 2024-03-15 09:20:46 UTC

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