SHIVA KUMAR GANJI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051130

License Status

CANCELLED

Business

First Name

SHIVA

Middle

KUMAR

Last Name

GANJI

Suffix

Business Name

SHIVA KUMAR GANJI MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006