HAASAN PRINCE ELI BANNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084743

License Status

ACTIVE

Business

Title

First Name

HAASAN

Middle

PRINCE ELI

Last Name

BANNER

Business Name

HAASAN PRINCE ELI BANNER MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

CHICAGO

State

Zip

60608

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/20/2024