NISHA GANESH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077716

License Status

EXPIRED

Business

Title

First Name

NISHA

Last Name

GANESH

Business Name

NISHA GANESH MD

Original Issue Date

06/21/2021

Effective Date

06/21/2021

Expiration Date

06/20/2024

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/30/2024