SIRISHA GANJI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073460

License Status

EXPIRED

Business

Title

First Name

SIRISHA

Last Name

GANJI

Business Name

SIRISHA GANJI MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

ROCKFORD

State

Zip

61103

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2022