EDWARD W GANELLEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075181

License Status

NOT RENEWED

Business

First Name

EDWARD W

Last Name

GANELLEN

Suffix

Business Name

EDWARD W GANELLEN MD

Original Issue Date

06/16/1987

Effective Date

06/16/1987

Expiration Date

07/31/1990

City

LINCOLNWOOD

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006