GUSTAVO MIGUEL BANTI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

GUSTAVO MIGUEL

Last Name

BANTI

Suffix

Business Name

GUSTAVO MIGUEL BANTI MD

Original Issue Date

03/26/1982

Effective Date

05/16/2011

Expiration Date

07/31/2014

City

GENEVA

State

Zip

60134

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014