VENU MADHAV GANIPISETTI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061149

License Status

CANCELLED

Business

Title

First Name

VENU

Middle

MADHAV

Last Name

GANIPISETTI

Business Name

VENU MADHAV GANIPISETTI MD

Original Issue Date

06/24/2012

Effective Date

06/24/2012

Expiration Date

06/23/2015

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014