SHIVA KUMAR GANJI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

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

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011