SHIBBAN KRISHEN GANJU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

First Name

SHIBBAN KRISHEN

Last Name

GANJU

Suffix

Business Name

SHIBBAN KRISHEN GANJU MD

Original Issue Date

01/01/1997

Effective Date

07/09/2023

Expiration Date

07/31/2026

City

OAK BROOK

State

Zip

60523

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/09/2023