ANITA R BANOFF Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057361

License Status

INACTIVE

Business

First Name

ANITA R

Last Name

BANOFF

Business Name

ANITA R BANOFF

Original Issue Date

08/21/1978

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

GLENVIEW

State

Zip

60026

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014