GANESH PRASAD MERUGU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060567

License Status

EXPIRED

Business

First Name

GANESH

Middle

PRASAD

Last Name

MERUGU

Suffix

Business Name

GANESH PRASAD MERUGU MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/13/2015