TAPESH BANSAL - Medical Doctor License in Illinois | # 125027978

TAPESH BANSAL

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027978

License Status

EXPIRED

Business

N

First Name

TAPESH

Last Name

BANSAL

Business Name

TAPESH BANSAL

Original Issue Date

05/08/1992

Effective Date

05/08/1992

Expiration Date

06/22/1995

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006