KIMBERLY MARIE-DUBOIS BANNON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059326

License Status

EXPIRED

Business

Title

First Name

KIMBERLY

Middle

MARIE-DUBOIS

Last Name

BANNON

Business Name

KIMBERLY MARIE-DUBOIS BANNON MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

City

NAPERVILLE

State

Zip

60540

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

09/04/2015