TERENCE G BANICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

TERENCE G

Last Name

BANICH

Suffix

Business Name

TERENCE G BANICH MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020