AMR TALAL BANNAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111666

License Status

NOT RENEWED

Business

First Name

AMR

Middle

TALAL

Last Name

BANNAN

Suffix

Business Name

AMR TALAL BANNAN MD

Original Issue Date

06/22/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

PHILADELPHIA

State

Zip

19104

Ever Disciplined

LastModifiedDate

05/21/2009