STACY SWATI BANERJEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124187

License Status

NOT RENEWED

Business

First Name

STACY

Middle

SWATI

Last Name

BANERJEE

Suffix

Business Name

STACY SWATI BANERJEE MD

Original Issue Date

08/06/2009

Effective Date

08/06/2009

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011