AVEEN M BANICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110170

License Status

NOT RENEWED

Business

First Name

AVEEN

Middle

Last Name

BANICH

Suffix

Business Name

AVEEN M BANICH MD

Original Issue Date

09/24/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

EAU CLAIRE

State

Zip

54701

Ever Disciplined

LastModifiedDate

02/27/2025