AMR TALAL BANNAN MD - Medical Doctor License in Pennsylvania | # 036111666

AMR TALAL BANNAN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111666

License Status

NOT RENEWED

Business

N

First Name

AMR

Middle

TALAL

Last Name

BANNAN

Suffix

MD

Business Name

AMR TALAL BANNAN MD

Original Issue Date

06/22/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

PA

Ever Disciplined

N

LastModifiedDate

05/21/2009