LARRY WILLIAM BANYASH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050864

License Status

NOT RENEWED

Business

First Name

LARRY WILLIAM

Last Name

BANYASH

Suffix

Business Name

LARRY WILLIAM BANYASH MD

Original Issue Date

03/21/1975

Effective Date

03/21/1975

Expiration Date

07/01/1982

City

SOUTH BEND

State

Zip

46617

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006