BRENT STEPHEN BANKS DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005419

License Status

NOT RENEWED

Business

Title

DPM

First Name

BRENT

Middle

STEPHEN

Last Name

BANKS

Business Name

BRENT STEPHEN BANKS DPM

Original Issue Date

07/17/2009

Effective Date

07/17/2009

Expiration Date

01/31/2011

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

03/10/2011