BASANTI S BANERJI MD - Medical Doctor License in Illinois | # 036062998

BASANTI S BANERJI MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062998

License Status

INACTIVE

Business

N

First Name

BASANTI S

Last Name

BANERJI

Suffix

MD

Business Name

BASANTI S BANERJI MD

Original Issue Date

08/24/1981

Effective Date

07/25/2014

Expiration Date

07/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

04/11/2017