MASOUD GANJI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106659

License Status

NOT RENEWED

Business

First Name

MASOUD

Last Name

GANJI

Suffix

Business Name

MASOUD GANJI MD

Original Issue Date

04/01/2002

Effective Date

04/25/2014

Expiration Date

07/31/2017

City

MEQUON

State

Zip

53097

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017