BANIO P KOROMA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

BANIO

Middle

Last Name

KOROMA

Suffix

Business Name

BANIO P KOROMA MD

Original Issue Date

02/24/1988

Effective Date

02/24/1988

Expiration Date

07/31/1990

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011