MONICO P BANEZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097031

License Status

INACTIVE

Business

First Name

MONICO

Middle

Last Name

BANEZ

Suffix

Business Name

MONICO P BANEZ MD

Original Issue Date

11/26/1997

Effective Date

11/26/1997

Expiration Date

07/31/2002

City

PEORIA

State

Zip

61636

County

PEORIA

Ever Disciplined

LastModifiedDate

07/09/2019