JAMES C BANICH - Medical Doctor License in Illinois | # 125039499

JAMES C BANICH

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039499

License Status

EXPIRED

Business

N

First Name

JAMES

Middle

C

Last Name

BANICH

Business Name

JAMES C BANICH

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2002

State

IL

Specialty/Qualifier

Otolaryngology

Ever Disciplined

N

LastModifiedDate

09/22/2006