MICHAEL R BANTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096602

License Status

NOT RENEWED

Business

First Name

MICHAEL R

Last Name

BANTON

Suffix

Business Name

MICHAEL R BANTON MD

Original Issue Date

08/28/1997

Effective Date

08/28/1997

Expiration Date

07/31/1999

City

ST LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006