TERENCE G BANICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047462

License Status

NOT RENEWED

Business

First Name

TERENCE G

Last Name

BANICH

Suffix

Business Name

TERENCE G BANICH MD

Original Issue Date

06/28/1973

Effective Date

06/08/2017

Expiration Date

09/30/2020

City

LAS VEGAS

State

Zip

89106

County

NEVADA

Ever Disciplined

LastModifiedDate

01/14/2021