GANESH KUMAR NAMACHIVAYAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048803

License Status

EXPIRED

Business

First Name

GANESH

Middle

KUMAR

Last Name

NAMACHIVAYAM

Suffix

Business Name

GANESH KUMAR NAMACHIVAYAM MD

Original Issue Date

08/25/2004

Effective Date

08/25/2004

Expiration Date

08/24/2007

City

HASTINGS

State

Zip

68901

County

NEBRASKA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

08/29/2007