CHRISTOPHER D BANE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

Last Name

BANE

Suffix

Business Name

CHRISTOPHER D BANE MD

Original Issue Date

06/24/2008

Effective Date

05/01/2017

Expiration Date

09/30/2020

City

NEW LENOX

State

Zip

60451

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021