MOUNIR F BANOUB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

MOUNIR F

Last Name

BANOUB

Suffix

Business Name

MOUNIR F BANOUB MD

Original Issue Date

05/06/1988

Effective Date

07/05/2016

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017