BAN KIZY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089538

License Status

NOT RENEWED

Business

First Name

BAN

Last Name

KIZY

Business Name

BAN KIZY

Original Issue Date

09/08/1994

Effective Date

09/08/1994

Expiration Date

07/31/1999

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006