PETER PAYTHAL GANPAT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148171

License Status

NOT RENEWED

Business

Title

First Name

PETER

Middle

PAYTHAL

Last Name

GANPAT

Business Name

PETER PAYTHAL GANPAT MD

Original Issue Date

01/23/2019

Effective Date

09/30/2020

Expiration Date

07/31/2023

City

ATLANTA

State

Zip

30339

Ever Disciplined

LastModifiedDate

11/30/2023