BHASKARA MICHAEL GANTI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152836

License Status

NOT RENEWED

Business

Title

First Name

BHASKARA

Middle

MICHAEL

Last Name

GANTI

Business Name

BHASKARA MICHAEL GANTI MD

Original Issue Date

05/05/2020

Effective Date

05/05/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023