MARK L BANAKIS DDS - Dentist License in Illinois | # 018000201

MARK L BANAKIS DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000201

License Status

NOT RENEWED

Business

N

First Name

MARK L

Last Name

BANAKIS

Suffix

DDS

Business Name

MARK L BANAKIS DDS

Original Issue Date

07/16/1987

Effective Date

07/16/1987

Expiration Date

06/30/1992

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005