ANTONI J BANAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

ANTONI

Middle

Last Name

BANAS

Suffix

Business Name

ANTONI J BANAS MD

Original Issue Date

05/19/1995

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021