VIPIN BANSAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

Title

First Name

VIPIN

Last Name

BANSAL

Business Name

VIPIN BANSAL MD

Original Issue Date

10/05/2011

Effective Date

10/05/2011

Expiration Date

07/31/2014

City

GRANITE BAY

State

Zip

95746

County

CALIFORNIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014