DAVID M BAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070136

License Status

EXPIRED

Business

Title

First Name

DAVID

Middle

Last Name

BAN

Business Name

DAVID M BAN MD

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2018

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

10/25/2018