CHRISTOPHER D BANE MD - Medical Doctor License in Illinois | # 125039742

CHRISTOPHER D BANE MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039742

License Status

EXPIRED

Business

N

First Name

CHRISTOPHER

Middle

D

Last Name

BANE

Suffix

MD

Business Name

CHRISTOPHER D BANE MD

Original Issue Date

06/22/1999

Effective Date

06/22/1999

Expiration Date

06/21/2002

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006