WILLIAM C BANZHAF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

WILLIAM C

Last Name

BANZHAF

Suffix

Business Name

WILLIAM C BANZHAF MD

Original Issue Date

07/17/1987

Effective Date

07/17/1987

Expiration Date

07/31/1990

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017