KRISTEN ABIGAIL BAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138891

License Status

NOT RENEWED

Business

Title

First Name

KRISTEN

Middle

ABIGAIL

Last Name

BAN

Business Name

KRISTEN ABIGAIL BAN MD

Original Issue Date

08/10/2015

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

MAYWOOD

State

Zip

60153

Ever Disciplined

LastModifiedDate

01/14/2021