EMILY LYNN ENGELLAND BANNISTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117322

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

LYNN ENGELLAND

Last Name

BANNISTER

Suffix

Business Name

EMILY LYNN ENGELLAND BANNISTER MD

Original Issue Date

12/14/2006

Effective Date

06/03/2011

Expiration Date

07/31/2014

City

ROBBINSDALE

State

Zip

55422

Ever Disciplined

LastModifiedDate

11/17/2014