License holder summary

Dr. DIVYA GOUTAM VIJENDRA is a Medical Board - 35.Doctor Of Medicine licensed to practice in Ohio. The address on file for Dr. DIVYA GOUTAM VIJENDRA is 5200, Harroun road, sylvania, OH 43560. This doctor license is current. The license was granted 06/22/2004 and expired on 10/01/2017.

Ohio

State Medical Board of Ohio

Dr. DIVYA GOUTAM VIJENDRA
Medical Board - 35.Doctor Of Medicine
License number
35.084674
Date granted
06/22/2004
Date expires
10/01/2017
Class
Medical Board - 35.Doctor Of Medicine
Status
Active
Address
5200, Harroun road, sylvania, OH 43560
doctorsohio.org
ID 28519258
LAST UPDATED 2024-04-02 08:13:52 UTC

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