LINA BANEVICIUTE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112257

License Status

INACTIVE

Business

First Name

LINA

Last Name

BANEVICIUTE

Suffix

Business Name

LINA BANEVICIUTE MD

Original Issue Date

09/02/2004

Effective Date

06/23/2014

Expiration Date

07/31/2017

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/11/2017