VENU MADHAV GANIPISETTI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

Title

First Name

VENU

Middle

MADHAV

Last Name

GANIPISETTI

Business Name

VENU MADHAV GANIPISETTI MD

Original Issue Date

08/12/2014

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021