SANDRA LYNN BANAS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047643

License Status

CANCELLED

Business

First Name

SANDRA

Middle

LYNN

Last Name

BANAS

Suffix

Business Name

SANDRA LYNN BANAS MD

Original Issue Date

06/21/2007

Effective Date

06/21/2007

Expiration Date

06/20/2009

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

04/05/2007