RANENDRA B GHOSH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

CANCELLED

Business

First Name

RANENDRA B

Last Name

GHOSH

Suffix

Business Name

RANENDRA B GHOSH MD

Original Issue Date

03/20/1986

Effective Date

03/20/1986

Expiration Date

07/31/2005

City

CENTRALIA

State

Zip

62801

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006