SHANTI PORTIA GANESH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

First Name

SHANTI

Middle

PORTIA

Last Name

GANESH

Suffix

Business Name

SHANTI PORTIA GANESH MD

Original Issue Date

05/06/2011

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

GAINESVILLE

State

Zip

32608

County

FLORIDA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023