PARDEEP BANSAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

Title

First Name

PARDEEP

Last Name

BANSAL

Business Name

PARDEEP BANSAL MD

Original Issue Date

06/29/2020

Effective Date

06/29/2020

Expiration Date

07/31/2023

City

MELBOURNE

State

Zip

32940

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023