DHANA LAKSHMI GANESAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094637

License Status

NOT RENEWED

Business

First Name

DHANA

Middle

LAKSHMI

Last Name

GANESAN

Suffix

Business Name

DHANA LAKSHMI GANESAN MD

Original Issue Date

12/30/1996

Effective Date

05/17/2017

Expiration Date

09/30/2020

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021