PAUL NICOLAS BANKS DO - Medical Doctor License in Illinois | # 125077310

PAUL NICOLAS BANKS DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077310

License Status

CANCELLED

Business

N

Title

DO

First Name

PAUL

Middle

NICOLAS

Last Name

BANKS

Business Name

PAUL NICOLAS BANKS DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

03/19/2021