MAREK KRZYSZTOF BANAS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061250

License Status

CANCELLED

Business

Title

First Name

MAREK

Middle

KRZYSZTOF

Last Name

BANAS

Business Name

MAREK KRZYSZTOF BANAS DO

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2016

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/21/2015