PAUL NICOLAS BANKS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077310

License Status

CANCELLED

Business

Title

First Name

PAUL

Middle

NICOLAS

Last Name

BANKS

Business Name

PAUL NICOLAS BANKS DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

03/19/2021