MICHAEL R BANTON MD - Medical Doctor License in Missouri | # 036096602

MICHAEL R BANTON MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096602

License Status

NOT RENEWED

Business

N

First Name

MICHAEL R

Last Name

BANTON

Suffix

MD

Business Name

MICHAEL R BANTON MD

Original Issue Date

08/28/1997

Effective Date

08/28/1997

Expiration Date

07/31/1999

State

MO

Ever Disciplined

N

LastModifiedDate

09/20/2006