FRANKLIN T BANZALI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061813

License Status

NOT RENEWED

Business

First Name

FRANKLIN

Middle

Last Name

BANZALI

Suffix

Business Name

FRANKLIN T BANZALI MD

Original Issue Date

02/27/1981

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

11/06/2008