License Directory

Banti Mahanta Md

Expired

Illinois license 036056611

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036056611
Status
Expired (Not Renewed)
First issued
April 13, 1978
Expired
July 31, 2017
License holder
Banti Mahanta Md
Entity type
Individual

Classifications

More from the license record

Current term began
04/30/2014

Other Illinois licenses under this name

  • IL
    Banti Mahanta Md
    License 33*****78
    Licensed Physician Controlled Substance (Medical Board)
    Expired
    Granite City, IL
    Expired Jul 31, 2017

Contact

Granite City, IL 62040
Madison County