DILLON JED BANNIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144095

License Status

ACTIVE

Business

Title

First Name

DILLON

Middle

JED

Last Name

BANNIS

Business Name

DILLON JED BANNIS MD

Original Issue Date

08/15/2017

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

06/02/2023