MICHAEL P BANNON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078213

License Status

NOT RENEWED

Business

First Name

MICHAEL P

Last Name

BANNON

Suffix

Business Name

MICHAEL P BANNON MD

Original Issue Date

12/06/1988

Effective Date

12/06/1988

Expiration Date

07/31/1993

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006