AMAR BANSAL - Medical Doctor License in Illinois | # 125039256

AMAR BANSAL

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039256

License Status

EXPIRED

Business

N

First Name

AMAR

Last Name

BANSAL

Business Name

AMAR BANSAL

Original Issue Date

06/22/1999

Effective Date

06/22/1999

Expiration Date

06/21/2002

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006