GANESH N PULLA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088074

License Status

ACTIVE

Business

First Name

GANESH N

Last Name

PULLA

Business Name

GANESH N PULLA

Original Issue Date

04/09/1994

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

KENOSHA

State

Zip

53142

Ever Disciplined

LastModifiedDate

07/28/2023