SHIVA KUMAR GANJI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121772

License Status

NOT RENEWED

Business

First Name

SHIVA

Middle

KUMAR

Last Name

GANJI

Suffix

Business Name

SHIVA KUMAR GANJI MD

Original Issue Date

08/18/2008

Effective Date

08/18/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011