ANITA R BANOFF Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

ANITA R

Last Name

BANOFF

Business Name

ANITA R BANOFF

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

GLENVIEW

State

Zip

60026

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011