LISA I BANCHIK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102642

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

BANCHIK

Suffix

Business Name

LISA I BANCHIK MD

Original Issue Date

06/07/2000

Effective Date

04/24/2014

Expiration Date

07/31/2017

City

BOCA RATON

State

Zip

33498

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/01/2017