ISHANA PREMA SHETTY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164786

License Status

ACTIVE

Business

Title

First Name

ISHANA

Middle

PREMA

Last Name

SHETTY

Business Name

ISHANA PREMA SHETTY MD

Original Issue Date

05/23/2023

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

08/07/2025