SAMIT PRAVIN GHIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139735

License Status

NOT RENEWED

Business

Title

First Name

SAMIT

Middle

PRAVIN

Last Name

GHIA

Business Name

SAMIT PRAVIN GHIA MD

Original Issue Date

02/09/2016

Effective Date

04/19/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021