RYLAN SUSANN BANKS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084907

License Status

ACTIVE

Business

Title

First Name

RYLAN

Middle

SUSANN

Last Name

BANKS

Business Name

RYLAN SUSANN BANKS DO

Original Issue Date

06/25/2024

Effective Date

06/25/2024

Expiration Date

06/24/2027

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/24/2024