JAMES C BANICH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105519

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

Last Name

BANICH

Business Name

JAMES C BANICH

Original Issue Date

08/31/2001

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

EAU CLAIRE

State

Zip

53701

Ever Disciplined

LastModifiedDate

11/06/2008