GIRISH GANESH DESHPANDE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109253

License Status

ACTIVE

Business

First Name

GIRISH

Middle

GANESH

Last Name

DESHPANDE

Suffix

Business Name

GIRISH GANESH DESHPANDE MD

Original Issue Date

05/15/2003

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

05/17/2023