DONALD E BANICKI MD - Medical Doctor License in Illinois | # 036044380

DONALD E BANICKI MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044380

License Status

INACTIVE

Business

N

Title

MD

First Name

DONALD

Middle

E

Last Name

BANICKI

Business Name

DONALD E BANICKI MD

Original Issue Date

07/01/1971

Effective Date

08/01/2011

Expiration Date

07/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

06/21/2014