BENJAMIN RALPH BANKS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000817

License Status

EXPIRED

Business

Title

First Name

BENJAMIN

Middle

RALPH

Last Name

BANKS

Business Name

BENJAMIN RALPH BANKS MD

Original Issue Date

02/10/2019

Effective Date

02/10/2019

Expiration Date

08/09/2019

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

01/13/2020