GIRISH V GHADE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099351

License Status

INACTIVE

Business

First Name

GIRISH

Middle

Last Name

GHADE

Suffix

Business Name

GIRISH V GHADE MD

Original Issue Date

12/07/1998

Effective Date

12/07/1998

Expiration Date

07/31/2005

City

FORT WAYNE

State

Zip

46805

County

INDIANA

Ever Disciplined

LastModifiedDate

04/29/2010