GEETHA G HERATH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096185

License Status

NOT RENEWED

Business

Title

First Name

GEETHA

Middle

Last Name

HERATH

Business Name

GEETHA G HERATH MD

Original Issue Date

07/25/1997

Effective Date

09/02/2020

Expiration Date

07/31/2023

City

PENSACOLA

State

Zip

32502

Ever Disciplined

LastModifiedDate

11/30/2023