MICHAEL P BANNON MD - Medical Doctor License in Illinois | # 036078213

MICHAEL P BANNON MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078213

License Status

NOT RENEWED

Business

N

First Name

MICHAEL P

Last Name

BANNON

Suffix

MD

Business Name

MICHAEL P BANNON MD

Original Issue Date

12/06/1988

Effective Date

12/06/1988

Expiration Date

07/31/1993

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2006