TODD W BANNEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099334

License Status

ACTIVE

Business

First Name

TODD

Middle

Last Name

BANNEN

Suffix

Business Name

TODD W BANNEN MD

Original Issue Date

12/01/1998

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

04/13/2023