HARINI GANGA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039018

License Status

CANCELLED

Business

First Name

HARINI

Last Name

GANGA

Suffix

Business Name

HARINI GANGA MD

Original Issue Date

01/22/1997

Effective Date

01/22/1997

Expiration Date

06/25/2002

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006