SIMPLEDEEP K BANIPAL MD - Medical Doctor License in Illinois | # 036132179

SIMPLEDEEP K BANIPAL MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132179

License Status

NOT RENEWED

Business

N

First Name

SIMPLEDEEP

Middle

K

Last Name

BANIPAL

Suffix

MD

Business Name

SIMPLEDEEP K BANIPAL MD

Original Issue Date

03/29/2013

Effective Date

06/24/2014

Expiration Date

07/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

11/01/2017