STACY SWATI BANERJEE 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

STACY

Middle

SWATI

Last Name

BANERJEE

Suffix

Business Name

STACY SWATI BANERJEE MD

Original Issue Date

08/06/2009

Effective Date

08/06/2009

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011