PEDRO MIGUEL BANDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096949

License Status

NOT RENEWED

Business

First Name

PEDRO

Middle

MIGUEL

Last Name

BANDA

Suffix

Business Name

PEDRO MIGUEL BANDA MD

Original Issue Date

11/07/1997

Effective Date

11/07/1997

Expiration Date

07/31/2005

City

MILWAUKEE

State

Zip

53211

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006