GAYATHRI GANESH - Physician Assistant License in Missouri | # 38*****81

GAYATHRI GANESH

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****81

License Status

ACTIVE

Business

N

First Name

GAYATHRI

Last Name

GANESH

Business Name

GAYATHRI GANESH

Original Issue Date

11/15/2023

Effective Date

01/20/2026

Expiration Date

03/01/2028

State

MO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

01/20/2026