MONICA KELLY BANALES MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077850

License Status

CANCELLED

Business

Title

First Name

MONICA

Middle

KELLY

Last Name

BANALES

Business Name

MONICA KELLY BANALES MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/05/2021