BENALI GIRISH DESHPANDE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112326

License Status

ACTIVE

Business

First Name

BENALI

Middle

GIRISH

Last Name

DESHPANDE

Suffix

Business Name

BENALI GIRISH DESHPANDE MD

Original Issue Date

09/13/2004

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2023