MICHAEL P BANNON 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

MICHAEL P

Last Name

BANNON

Suffix

Business Name

MICHAEL P BANNON MD

Original Issue Date

09/06/1989

Effective Date

09/06/1989

Expiration Date

07/31/1993

City

DES PLAINES

State

Zip

60016

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006