KIMBERLY MARIE-DUBOIS BANNON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

Title

First Name

KIMBERLY

Middle

MARIE-DUBOIS

Last Name

BANNON

Business Name

KIMBERLY MARIE-DUBOIS BANNON MD

Original Issue Date

03/06/2015

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60540

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023