License holder summary

Lalita shraavya Mandavilli is a Medical - Telemedicine licensed to practice in Minnesota. The address on file for Lalita shraavya Mandavilli is PO Box MC, Fargo, ND 58122. This licensed professional license is not current. The license was granted 09/11/2012 and expired on 12/31/2013.

Minnesota

Department of Labor and Industry

Lalita shraavya Mandavilli
Medical - Telemedicine
License number
1677
Date granted
09/11/2012
Date expires
12/31/2013
Class
Medical - Telemedicine
Status
Inactive
Address
PO Box MC, Fargo, ND 58122
mnlicensing.org
ID 22369107
LAST UPDATED 2026-03-22 23:53:14 UTC

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