BRIAN GINN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072066

License Status

CANCELLED

Business

Title

First Name

BRIAN

Last Name

GINN

Business Name

BRIAN GINN MD

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

06/24/2021

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

04/26/2018