JAMES E BANE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

Last Name

BANE

Suffix

Business Name

JAMES E BANE MD

Original Issue Date

05/16/1986

Effective Date

05/16/1986

Expiration Date

07/31/2002

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006