MICHAEL THOMAS BANNING MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142547

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

THOMAS

Last Name

BANNING

Business Name

MICHAEL THOMAS BANNING MD

Original Issue Date

03/02/2017

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60642

County

GEORGIA

Ever Disciplined

LastModifiedDate

01/14/2021