MONICO P BANEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

CANCELLED

Business

First Name

MONICO

Middle

Last Name

BANEZ

Suffix

Business Name

MONICO P BANEZ MD

Original Issue Date

12/02/1997

Effective Date

12/02/1997

Expiration Date

07/31/2002

City

PEORIA

State

Zip

61636

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006