CHRISTOPHER MATTHEW BANNIGAN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

Title

First Name

CHRISTOPHER

Middle

MATTHEW

Last Name

BANNIGAN

Business Name

CHRISTOPHER MATTHEW BANNIGAN DO

Original Issue Date

04/01/2009

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017