License Directory

Ahila Manivannan

Active

Michigan license 4351048409

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
4351048409
Status
Active
First issued
May 11, 2021
Expires
June 30, 2027
License holder
Ahila Manivannan
Entity type
Individual

Classifications

Contact

Detroit Medical Center
GME Office 4201 St. Antoine, UHC 9C
Detroit, MI 48201
Wayne County