BRENT STEPHEN BANKS DPM - Podiatrist License in Illinois | # 135000655

BRENT STEPHEN BANKS DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000655

License Status

EXPIRED

Business

N

Title

DPM

First Name

BRENT

Middle

STEPHEN

Last Name

BANKS

Business Name

BRENT STEPHEN BANKS DPM

Original Issue Date

06/30/2008

Effective Date

07/01/2008

Expiration Date

06/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

07/01/2009