GUSTAVO MIGUEL BANTI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063412

License Status

NOT RENEWED

Business

First Name

GUSTAVO MIGUEL

Last Name

BANTI

Suffix

Business Name

GUSTAVO MIGUEL BANTI MD

Original Issue Date

10/19/1981

Effective Date

04/14/2011

Expiration Date

07/31/2014

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

11/17/2014