GHANSHYAM S YADAV MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001356

License Status

EXPIRED

Business

Title

First Name

GHANSHYAM

Middle

Last Name

YADAV

Business Name

GHANSHYAM S YADAV MD

Original Issue Date

05/04/2020

Effective Date

05/04/2020

Expiration Date

06/03/2020

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

Female Pelvic Med Reconstructive Surg

Ever Disciplined

LastModifiedDate

11/19/2020