BAL K BANSAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051913

License Status

NOT RENEWED

Business

First Name

BAL

Middle

Last Name

BANSAL

Suffix

Business Name

BAL K BANSAL MD

Original Issue Date

09/12/1975

Effective Date

04/02/2021

Expiration Date

07/31/2023

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

11/30/2023

Case Number

2014001433

Action

Probation

Discipline Start Date

04/02/2021

Discipline Reason

due to prior discipline in Kentucky.