SAMUEL WALLACE BANKS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036021611

License Status

NOT RENEWED

Business

First Name

SAMUEL WALLACE

Last Name

BANKS

Suffix

Business Name

SAMUEL WALLACE BANKS MD

Original Issue Date

11/27/1936

Effective Date

11/27/1936

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006