JAMES FERRIS GANEM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000214

License Status

EXPIRED

Business

First Name

JAMES

Middle

FERRIS

Last Name

GANEM

Suffix

Business Name

JAMES FERRIS GANEM MD

Original Issue Date

11/04/2003

Effective Date

11/04/2003

Expiration Date

05/11/2004

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/23/2006