SIMPLEDEEP K BANIPAL MD - Medical Doctor License in Illinois | # 125057681

SIMPLEDEEP K BANIPAL MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057681

License Status

EXPIRED

Business

N

First Name

SIMPLEDEEP

Middle

K

Last Name

BANIPAL

Suffix

MD

Business Name

SIMPLEDEEP K BANIPAL MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2013

State

IL

Specialty/Qualifier

General Surgery

Ever Disciplined

N

LastModifiedDate

10/07/2013