ANKUSH K BANSAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

Title

First Name

ANKUSH

Middle

Last Name

BANSAL

Business Name

ANKUSH K BANSAL MD

Original Issue Date

01/29/2020

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

LOXAHATCHEE

State

Zip

33470

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2023