PEDRO MIGUEL BANDA MD - Medical Doctor License in Wisconsin | # 036096949

PEDRO MIGUEL BANDA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096949

License Status

NOT RENEWED

Business

N

First Name

PEDRO

Middle

MIGUEL

Last Name

BANDA

Suffix

MD

Business Name

PEDRO MIGUEL BANDA MD

Original Issue Date

11/07/1997

Effective Date

11/07/1997

Expiration Date

07/31/2005

State

WI

Ever Disciplined

N

LastModifiedDate

10/09/2006