KEITH RAJIV GANESH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122628

License Status

ACTIVE

Business

First Name

KEITH

Middle

RAJIV

Last Name

GANESH

Suffix

Business Name

KEITH RAJIV GANESH MD

Original Issue Date

02/17/2009

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023