VENU MADHAV GANIPISETTI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136226

License Status

NOT RENEWED

Business

Title

First Name

VENU

Middle

MADHAV

Last Name

GANIPISETTI

Business Name

VENU MADHAV GANIPISETTI MD

Original Issue Date

08/12/2014

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021