AVEEN M BANICH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039498

License Status

EXPIRED

Business

First Name

AVEEN

Middle

Last Name

BANICH

Suffix

Business Name

AVEEN M BANICH MD

Original Issue Date

06/24/1999

Effective Date

06/24/1999

Expiration Date

06/30/2004

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006