KHALID TALAL BANNAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056746

License Status

EXPIRED

Business

Title

First Name

KHALID

Middle

TALAL

Last Name

BANNAN

Business Name

KHALID TALAL BANNAN MD

Original Issue Date

06/27/2009

Effective Date

06/27/2009

Expiration Date

06/26/2012

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/29/2012