JOSEPH JOHN BANNO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

First Name

JOSEPH JOHN

Last Name

BANNO

Suffix

Business Name

JOSEPH JOHN BANNO MD

Original Issue Date

01/01/1997

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023