MARIA LOURDES G BANAAD-OMIOTEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

MARIA LOURDES

Middle

Last Name

BANAAD-OMIOTEK

Suffix

Business Name

MARIA LOURDES G BANAAD-OMIOTEK MD

Original Issue Date

08/03/2004

Effective Date

08/03/2004

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60630

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020