MICHAEL NGOC BANH - Podiatrist License in Illinois | # 135000902

MICHAEL NGOC BANH

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000902

License Status

EXPIRED

Business

N

First Name

MICHAEL

Middle

NGOC

Last Name

BANH

Business Name

MICHAEL NGOC BANH

Original Issue Date

01/22/2016

Effective Date

01/25/2016

Expiration Date

04/03/2016

State

IL

Ever Disciplined

N

LastModifiedDate

08/16/2016