DALMACIO BANAAG CUSI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

DALMACIO BANAAG

Last Name

CUSI

Suffix

Business Name

DALMACIO BANAAG CUSI MD

Original Issue Date

02/09/1989

Effective Date

06/10/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60624

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011