GEORGE A BANUELOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

First Name

GEORGE A

Last Name

BANUELOS

Suffix

Business Name

GEORGE A BANUELOS MD

Original Issue Date

05/30/1985

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023