SHANTI PORTIA GANESH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123418

License Status

ACTIVE

Business

First Name

SHANTI

Middle

PORTIA

Last Name

GANESH

Suffix

Business Name

SHANTI PORTIA GANESH MD

Original Issue Date

05/13/2009

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

GAINESVILLE

State

Zip

32608

County

FLORIDA

Ever Disciplined

LastModifiedDate

07/28/2023