EMILY LYNN ENGELLAND BANNISTER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043630

License Status

CANCELLED

Business

First Name

EMILY

Middle

LYNN ENGELLAND

Last Name

BANNISTER

Suffix

Business Name

EMILY LYNN ENGELLAND BANNISTER MD

Original Issue Date

08/01/2005

Effective Date

08/01/2005

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/13/2013