MAHATHI KEELAPANDAL GANESH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080023

License Status

EXPIRED

Business

Title

First Name

MAHATHI

Last Name

KEELAPANDAL GANESH

Business Name

MAHATHI KEELAPANDAL GANESH MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

URBANA

State

Zip

61801

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/03/2025