DESMOND W EBANKS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083703

License Status

NOT RENEWED

Business

First Name

DESMOND W

Last Name

EBANKS

Suffix

Business Name

DESMOND W EBANKS MD

Original Issue Date

11/08/1991

Effective Date

11/08/1991

Expiration Date

07/31/1993

City

CANTON

State

Zip

06019

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

09/20/2006