BANIO P KOROMA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

BANIO

Middle

Last Name

KOROMA

Suffix

Business Name

BANIO P KOROMA MD

Original Issue Date

03/12/1998

Effective Date

09/23/2014

Expiration Date

07/31/2017

City

MATTESON

State

Zip

60443

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017