BRENT STEPHEN BANKS DPM - Podiatrist License in Illinois | # 016005419

BRENT STEPHEN BANKS DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005419

License Status

NOT RENEWED

Business

N

Title

DPM

First Name

BRENT

Middle

STEPHEN

Last Name

BANKS

Business Name

BRENT STEPHEN BANKS DPM

Original Issue Date

07/17/2009

Effective Date

07/17/2009

Expiration Date

01/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

03/10/2011