DILLON JED BANNIS MD - Medical Doctor License in Illinois | # 125063348

DILLON JED BANNIS MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063348

License Status

CANCELLED

Business

N

Title

MD

First Name

DILLON

Middle

JED

Last Name

BANNIS

Business Name

DILLON JED BANNIS MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

State

IL

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

N

LastModifiedDate

04/12/2016