License holder summary

LISA M BANTA is a Medicine - Medicine And Surgery licensed to practice in District of Columbia. The address on file for LISA M BANTA is Children's National Medical Center, 111 Michigan Avenue NW, Washington DC 20010. This licensed professional license is current. The license was granted 05/08/2007 and expired on 12/31/2014.

District of Columbia

Department of Consumer and Regulatory Affairs

LISA M BANTA
Medicine - Medicine And Surgery
License number
MD036636
Date granted
05/08/2007
Date expires
12/31/2014
Class
Medicine - Medicine And Surgery
Status
Active
Address
Children's National Medical Center, 111 Michigan Avenue NW, Washington DC 20010
dclicensing.com
ID 20160267
LAST UPDATED 2024-04-10 10:22:49 UTC

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