JONATHAN ELLIS BANKOFF MD - Medical Doctor License in Illinois | # 125047340

JONATHAN ELLIS BANKOFF MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047340

License Status

EXPIRED

Business

N

First Name

JONATHAN

Middle

ELLIS

Last Name

BANKOFF

Suffix

MD

Business Name

JONATHAN ELLIS BANKOFF MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

07/03/2007