ILA BANSAL MD - Medical Doctor License in Illinois | # 125049175

ILA BANSAL MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049175

License Status

EXPIRED

Business

N

First Name

ILA

Last Name

BANSAL

Suffix

MD

Business Name

ILA BANSAL MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2006

State

IL

Ever Disciplined

N

LastModifiedDate

09/22/2006