EMILY LYNN ENGELLAND BANNISTER MD
Temporary Medical Permit
Illinois 125043630 Canceled
This Illinois license was held by EMILY LYNN ENGELLAND BANNISTER MD. The license is no longer active. It was granted on 08/01/2005 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 125043630
- Category: TEMPORARY MEDICAL PERMIT
- Status: Canceled
- Date Granted: 08/01/2005 (almost 20 years ago)
- Expiry Date: 06/30/2007 (almost 18 years ago)
LOCATIONS
A Address
Robbinsdale, MN 554221834