STANISLAW ANDRZE BANAS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026011

License Status

EXPIRED

Business

First Name

STANISLAW ANDRZE

Last Name

BANAS

Suffix

Business Name

STANISLAW ANDRZE BANAS MD

Original Issue Date

08/15/1990

Effective Date

08/15/1990

Expiration Date

08/12/1993

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006