SHASHI D GANTI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062876

License Status

NOT RENEWED

Business

First Name

SHASHI D

Last Name

GANTI

Suffix

Business Name

SHASHI D GANTI MD

Original Issue Date

08/14/1981

Effective Date

08/14/1981

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

03/27/2007

Case Number

2004004068

Action

Refuse To Renew

Discipline Start Date

08/30/2004

Discipline Reason

Disciplined in New York.